Thomas Bernard Mitchell, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Thomas Bernard Mitchell is licensed to practice in Pennsylvania (license number 1508578089) and his current practice location is
669 W 34th St Ste 102m, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 821-5977.
NPI number for Thomas Bernard Mitchell is 1508578089 and his current mailing address is 669 W 34th St Ste 102m, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508578089.
Healthcare Provider's Profile
Full Name | Thomas Bernard Mitchell |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 669 W 34th St Ste 102m, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508578089
- Provider Enumeration Date: 12/16/2022
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Thomas Bernard Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508578089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 1508578089 (Pennsylvania) | 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. Thomas Bernard 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 |
Thomas Bernard Mitchell, 669 W 34th St Ste 102m, Los Angeles, CA 90089-7141 Ph: (213) 821-5977 | Thomas Bernard Mitchell, 669 W 34th St Ste 102m, Los Angeles, CA 90089-7141 Ph: (213) 821-5977 |
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