Adrienne Renee Mitchell, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Tacoma, Washington. Her current practice location is
521 Martin Luther King Jr Way, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 403-6906.
Adrienne Renee Mitchell is licensed to practice in Washington (license number LW60470722) 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 1740576743.
Healthcare Provider's Profile
Full Name | Adrienne Renee Mitchell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 521 Martin Luther King Jr Way, Tacoma, Washington |
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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: 1740576743
- Provider Enumeration Date: 06/28/2011
- Last Update Date: 08/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 8426344987
- Enrollment ID: I20201125002373
Medical Identifiers
Medical identifiers for Adrienne Renee Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740576743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SC60222139 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW60470722 (Washington) | 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. Adrienne Renee Mitchell allows following entities to bill medicare on her behalf.
Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
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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. Adrienne Renee 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 |
Adrienne Renee Mitchell, LICSW 521 Martin Luther King Jr Way, Tacoma, WA 98405-4238 Ph: (253) 403-6906 | Adrienne Renee Mitchell, LICSW 521 Martin Luther King Jr Way, Tacoma, WA 98405-4238 Ph: (253) 403-6906 |
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