Johnny Lee Mitchell Jr, LCSW in Lawrenceville, GA

Johnny Lee Mitchell Jr, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Lawrenceville, Georgia. His current practice location is 175 Gwinnett Dr, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 209-2411.

Johnny Lee Mitchell Jr is licensed to practice in Georgia (license number CSW006787) 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.

Contact Information

	Johnny Lee Mitchell Jr, LCSW
	175 Gwinnett Dr, Lawrenceville, GA 30046-8444
	(678) 209-2411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johnny Lee Mitchell Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	175 Gwinnett Dr, Lawrenceville, Georgia
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: 04/08/2020

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)	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
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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 2672 Thompson Mill Rd, Buford, GA 30519-5461 Ph: (814) 521-6607	Johnny Lee Mitchell Jr, LCSW 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 Ph: (678) 209-2411

Reviews and Comments

Counselor in Lawrenceville, GA

Ms. Katherine Anne Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 Fax: 678-212-6350
John Troy Mcqueen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 685 Rosedown Way, Lawrenceville, GA 30043 Phone: 678-925-4545
Fatima Flynn, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394
Mrs. Christy Hall Wages, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 Scenic Hwy, Suite 100, Lawrenceville, GA 30045 Phone: 770-995-1846 Fax: 770-995-6614
Angella Bramwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 770-339-2395 Fax: 678-990-3997
Jenna Spears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 678-634-9237

Johnny Lee Mitchell Jr, LCSW - Medicare Counselor in Lawrenceville, GA