Melvin Douglas Mitchell Jr, PMHNP in Victorville, CA

Melvin Douglas Mitchell Jr, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Victorville, California. His current practice location is 12984 Hesperia Rd, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 245-4116.

Melvin Douglas Mitchell Jr is licensed to practice in Florida (license number 9355575) 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 1669916615.

Contact Information

	Melvin Douglas Mitchell Jr, PMHNP
	12984 Hesperia Rd, Victorville, CA 92395-5819
	(760) 245-4116
	Not Available

Map and Direction

Provider's Profile

Full Name	Melvin Douglas Mitchell Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12984 Hesperia Rd, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669916615
Provider Enumeration Date: 12/10/2016
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3072875806
Enrollment ID: I20180315000097

Medical Identifiers

Medical identifiers for Melvin Douglas Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669916615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9355575 (Florida)	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. Melvin Douglas Mitchell Jr allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Melvin Douglas 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
Melvin Douglas Mitchell Jr, PMHNP 12984 Hesperia Rd., Suitte 101, Victorville, CA 92395 Ph: (760) 245-4116	Melvin Douglas Mitchell Jr, PMHNP 12984 Hesperia Rd, Victorville, CA 92395-5819 Ph: (760) 245-4116

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Frazier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Cindy Alvarez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11857 Elliot Way, Victorville, CA 92392 Phone: 818-400-5438

Melvin Douglas Mitchell Jr, PMHNP - Medicare Nurse Practitioner in Victorville, CA