Accie Mitchell, MD is a
General Practice physician based in Gardena, California. Accie Mitchell is licensed to practice in California (license number C28274) and his current practice location is 19210 S Vermont Ave, Bldg D, Suite 400, Gardena, California. He can be reached at his office (for appointments etc.) via phone at
(310) 436-0202.
NPI number for Accie Mitchell is 1679580526 and his current mailing address is 19210 S Vermont Ave, Bldg D, Suite 400, Gardena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679580526.
Physician's Profile
| Full Name | Accie Mitchell |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 19210 S Vermont Ave, Gardena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679580526
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/23/2012
Medical Identifiers
Medical identifiers for Accie Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679580526 | NPI | - | NPPES |
| 00C282740 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | C28274 (California) | 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. Accie 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 |
|---|
Accie Mitchell, MD
19210 S Vermont Ave, Bldg D, Suite 400,
Gardena, CA 90248-4426
Ph: (310) 436-0202 | Accie Mitchell, MD
19210 S Vermont Ave, Bldg D, Suite 400,
Gardena, CA 90248-4426
Ph: (310) 436-0202 |
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