Harold Mitchell Jr, OTD is a medicare enrolled "Occupational Therapist" physician in Riverdale, Georgia. His current practice location is
11 Upper Riverdale Rd Sw, Riverdale, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 991-8000.
Harold Mitchell Jr is licensed to practice in Georgia (license number OT006225) 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 1689358277.
Physician's Profile
Full Name | Harold Mitchell Jr |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 11 Upper Riverdale Rd Sw, Riverdale, Georgia |
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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: 1689358277
- Provider Enumeration Date: 06/14/2023
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638529456
- Enrollment ID: I20231220000790
Medical Identifiers
Medical identifiers for Harold Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689358277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | OT006225 (Georgia) | Secondary |
225X00000X | Occupational Therapist | OT006225 (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. Harold Mitchell Jr allows following entities to bill medicare on his behalf.
Entity Name | Empowerme Rehabilitation Georgia, Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
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Entity Name | Onr National Speech Pathology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20210929000868 |
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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. Harold 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 |
Harold Mitchell Jr, OTD 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 Ph: () - | Harold Mitchell Jr, OTD 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 Ph: (770) 991-8000 |
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