Cecilia R Mitchell, DDS in Los Angeles, CA

Cecilia R Mitchell, DDS is a medicare enrolled "Dentist - General Practice" provider in Los Angeles, California. Her current practice location is 4816 E 3rd St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 780-4510.

Cecilia R Mitchell is licensed to practice in California (license number 29950) 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 1053483339.

Contact Information

	Cecilia R Mitchell, DDS
	4816 E 3rd St, Los Angeles, CA 90022-1602
	(323) 780-4510
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cecilia R Mitchell
Gender	Female
Speciality	Dentist - General Practice
Location	4816 E 3rd St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053483339
Provider Enumeration Date: 11/14/2006
Last Update Date: 02/25/2020

Medicare PECOS Information:

PECOS PAC ID: 9931476546
Enrollment ID: I20170602001744

Medical Identifiers

Medical identifiers for Cecilia R Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053483339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	29950 (California)	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. Cecilia R Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Queenscare Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093886251 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131

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. Cecilia R 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
Cecilia R Mitchell, DDS 950 S Grand Ave Fl 2, Los Angeles, CA 90015-3999 Ph: (323) 669-4346	Cecilia R Mitchell, DDS 4816 E 3rd St, Los Angeles, CA 90022-1602 Ph: (323) 780-4510

Reviews and Comments

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Cecilia R Mitchell, DDS - Medicare Dentist in Los Angeles, CA