Lakisha Mitchell, in South Holland, IL - Medicare Social Worker Provider

Lakisha Mitchell, is a medicare enrolled "Social Worker - Clinical" provider in South Holland, Illinois. Her current practice location is 17148 Evans Dr, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 515-8366.

Lakisha Mitchell is licensed to practice in Illinois (license number 149.026627) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306663463.

Contact Information

	Lakisha Mitchell,
	17148 Evans Dr, South Holland, IL 60473-3440
	(708) 515-8366
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lakisha Mitchell
Gender	Female
Speciality	Social Worker - Clinical
Location	17148 Evans Dr, South Holland, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306663463
Provider Enumeration Date: 09/20/2024
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0648792747
Enrollment ID: I20250318003171

Medical Identifiers

Medical identifiers for Lakisha Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306663463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.026627 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lakisha Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakisha Mitchell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lakisha Mitchell, Po Box 1439, South Holland, IL 60473-7439 Ph: (708) 515-8366	Lakisha Mitchell, 17148 Evans Dr, South Holland, IL 60473-3440 Ph: (708) 515-8366

Reviews and Comments

Social Worker in South Holland, IL

Myra D Staples, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 East 167th Street, South Holland, IL 60473 Phone: 708-385-4258
Pamela D Carter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 E 158th St, South Holland, IL 60473 Phone: 708-979-0418
Breshonti Galloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17230 Kenwood Ave, South Holland, IL 60473 Phone: 708-990-5575
Mr. Johnny White, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15663 Kimbark Ave, South Holland, IL 60473 Phone: 630-747-4498
Betsy Colvin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16057 Dobson Avenue, South Holland, IL 60473 Phone: 708-638-9648
Mr. Thomas C Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16284 Prince Dr, South Holland, IL 60473 Phone: 708-333-4357 Fax: 708-331-8670

Lakisha Mitchell, - Medicare Clinical Social Worker in South Holland, IL