Dr Jonathan Clovis Mitchell, PHD - Medicare Psychologist in St Petersburg, FL

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Dr Jonathan Clovis Mitchell, PHD is a medicare enrolled "Psychologist - Clinical" provider in St Petersburg, Florida. His current practice location is 700 6th St S, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 893-6116.

Dr Jonathan Clovis Mitchell is licensed to practice in Florida (license number PY9895) 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 1841909223.

Contact Information

Dr Jonathan Clovis Mitchell, PHD
700 6th St S,
St Petersburg, FL 33701-4815
(727) 893-6116
(727) 553-7340

Map and Direction




Healthcare Provider's Profile

Full NameDr Jonathan Clovis Mitchell
GenderMale
SpecialityPsychologist - Clinical
Location700 6th St S, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841909223
  • Provider Enumeration Date: 11/15/2022
  • Last Update Date: 01/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436529948
  • Enrollment ID: I20221227002245

Medical Identifiers

Medical identifiers for Dr Jonathan Clovis Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841909223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Secondary
103TH0004XPsychologist - Health (* (Not Available))Secondary
103TH0100XPsychologist - Health Service (* (Not Available))Secondary
103TC0700XPsychologist - Clinical PY9895 (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. Dr Jonathan Clovis Mitchell allows following entities to bill medicare on his behalf.
Entity NameOhi West Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518572551
PECOS PAC ID: 2668882507
Enrollment ID: O20201105000368

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. Dr Jonathan Clovis 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 AddressPractice Location Address
Dr Jonathan Clovis Mitchell, PHD
700 6th St S,
St Petersburg, FL 33701-4815

Ph: (727) 893-6116		Dr Jonathan Clovis Mitchell, PHD
700 6th St S,
St Petersburg, FL 33701-4815

Ph: (727) 893-6116

Reviews and Comments


Psychologist in St Petersburg, FL

William Frye, PHD
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Phone: 727-767-8477    Fax: 727-767-8244
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Miss Betty Horng, PH.D.
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Practice Location: 800 6th St S, Childrens Health Center, St Petersburg, FL 33701
Phone: 727-767-4150    Fax: 727-767-8532
Lacy Chavis, PSY.D.
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Practice Location: 880 6th St S Ste 420, St Petersburg, FL 33701
Phone: 727-767-8477    
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Phone: 813-922-8809    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.