Cody Allen Mitchem, is a
Psychologist - Addiction (substance Use Disorder) based in Jackson, Ohio. Cody Allen Mitchem is licensed to practice in * (Not Available) (license number ) and his current practice location is
502 Mccarty Ln Ste 1, Jackson, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 577-9003.
NPI number for Cody Allen Mitchem is 1356129332 and his current mailing address is 502 Mccarty Ln Ste 1, Jackson, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356129332.
Healthcare Provider's Profile
| Full Name | Cody Allen Mitchem |
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| Gender | Male |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 502 Mccarty Ln Ste 1, Jackson, Ohio |
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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: 1356129332
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 09/20/2023
Medical Identifiers
Medical identifiers for Cody Allen Mitchem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356129332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Cody Allen Mitchem 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 |
|---|
Cody Allen Mitchem,
502 Mccarty Ln Ste 1,
Jackson, OH 45640-7025
Ph: (740) 577-9003 | Cody Allen Mitchem,
502 Mccarty Ln Ste 1,
Jackson, OH 45640-7025
Ph: (740) 577-9003 |
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