Thomas Bernard Mitchell, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Thomas Bernard Mitchell is licensed to practice in Pennsylvania (license number 1508578089) and his current practice location is
669 W 34th St Ste 102m, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 821-5977.
NPI number for Thomas Bernard Mitchell is 1508578089 and his current mailing address is 669 W 34th St Ste 102m, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508578089.
Healthcare Provider's Profile
| Full Name | Thomas Bernard Mitchell |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 669 W 34th St Ste 102m, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508578089
- Provider Enumeration Date: 12/16/2022
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Thomas Bernard Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508578089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 1508578089 (Pennsylvania) | Primary |
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. Thomas Bernard Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Thomas Bernard Mitchell, 669 W 34th St Ste 102m, Los Angeles, CA 90089-7141 Ph: (213) 821-5977 | Thomas Bernard Mitchell, 669 W 34th St Ste 102m, Los Angeles, CA 90089-7141 Ph: (213) 821-5977 |
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