Johnny Lee Mitchell Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, California. His current practice location is
1560 E Chevy Chase Dr Ste 130, Glendale, California. You can reach out to his office (for appointments etc.) via phone at
(818) 240-0340.
Johnny Lee Mitchell Jr is licensed to practice in California (license number 102458) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003313461.
Healthcare Provider's Profile
Full Name | Johnny Lee Mitchell Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1560 E Chevy Chase Dr Ste 130, Glendale, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003313461
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315378387
- Enrollment ID: I20211217000771
Medical Identifiers
Medical identifiers for Johnny Lee Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003313461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CSW006787 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | 102458 (California) | 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. Johnny Lee Mitchell Jr allows following entities to bill medicare on his behalf.
Entity Name | Mellow Medical Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
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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. Johnny Lee Mitchell Jr 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 |
Johnny Lee Mitchell Jr, LCSW 1560 E Chevy Chase Dr Ste 130, Glendale, CA 91206-4140 Ph: (818) 240-0340 | Johnny Lee Mitchell Jr, LCSW 1560 E Chevy Chase Dr Ste 130, Glendale, CA 91206-4140 Ph: (818) 240-0340 |
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