Miracle Mitchell, LPC in Tallulah, LA - Medicare Counselor Provider

Miracle Mitchell, LPC is a medicare enrolled "Counselor - Professional" provider in Tallulah, Louisiana. Her current practice location is 805 N Beech St Ste 2, Tallulah, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 493-5147.

Miracle Mitchell is licensed to practice in Mississippi (license number 1951) 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 1730586173.

Contact Information

	Miracle Mitchell, LPC
	805 N Beech St Ste 2, Tallulah, LA 71282-3809
	(318) 493-5147
	(318) 493-5148

Map and Direction

Healthcare Provider's Profile

Full Name	Miracle Mitchell
Gender	Female
Speciality	Counselor - Professional
Location	805 N Beech St Ste 2, Tallulah, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730586173
Provider Enumeration Date: 12/01/2014
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8426579772
Enrollment ID: I20250304001256

Medical Identifiers

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

Identifier	Type	State	Issuer
1730586173	NPI	-	NPPES
08532364	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1951 (Mississippi)	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. Miracle Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Anew Beginning Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619467735 PECOS PAC ID: 7517488869 Enrollment ID: O20250304001101

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. Miracle 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
Miracle Mitchell, LPC 103 Granite Way, Vicksburg, MS 39183-6952 Ph: (601) 826-9947	Miracle Mitchell, LPC 805 N Beech St Ste 2, Tallulah, LA 71282-3809 Ph: (318) 493-5147

Reviews and Comments

Counselor in Tallulah, LA

Chalei Rayveon Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 E Askew St, Tallulah, LA 71282 Phone: 318-574-2320
Kevin Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N Beech St, Tallulah, LA 71282 Phone: 318-574-0098 Fax: 318-574-0066
Jacqueline Mcmillan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 Fax: 318-574-8646
Tywana Mcclure, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N Beech St Ste 2805, Tallulah, LA 71282 Phone: 318-493-5147 Fax: 318-493-5148
Cynthia Bryan, BSW, RSW, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232 Fax: 318-574-8646
Brianna L Stevenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Felicia Ave, Tallulah, LA 71282 Phone: 318-574-1232
Ms. Demyia Graham, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N Beech St # 2, Tallulah, LA 71282 Phone: 318-493-5147 Fax: 318-493-5148

Miracle Mitchell, LPC - Medicare Counselor in Tallulah, LA