Mr Carl L Mitchell Jr, LSCSW - Medicare Clinical Social Worker in Independence, KS

Mr Carl L Mitchell Jr, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Independence, Kansas. His current practice location is 220 E. Chestnut, Independence, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 331-0057.

Mr Carl L Mitchell Jr is licensed to practice in Kansas (license number 3844) 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 1134157167.

Contact Information

Mr Carl L Mitchell Jr, LSCSW
220 E. Chestnut,
Independence, KS 67301
(620) 331-0057
Not Available



Healthcare Provider's Profile

Full NameMr Carl L Mitchell Jr
GenderMale
SpecialitySocial Worker - Clinical
Location220 E. Chestnut, Independence, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134157167
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193960391
  • Enrollment ID: I20130315000464

Medical Identifiers

Medical identifiers for Mr Carl L Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134157167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 3844 (Kansas)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. Mr Carl L Mitchell Jr allows following entities to bill medicare on his behalf.
Entity NameFour County Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841290251
PECOS PAC ID: 7012904071
Enrollment ID: O20040430000887

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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. Mr Carl L 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 AddressPractice Location Address
Mr Carl L Mitchell Jr, LSCSW
3751 W. Main,
Independence, KS 67301

Ph: (620) 331-0057
Mr Carl L Mitchell Jr, LSCSW
220 E. Chestnut,
Independence, KS 67301

Ph: (620) 331-0057

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Social Worker in Independence, KS

Janet West,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Donald Ave, Independence, KS 67301
Phone: 620-331-1748    
Cassie Nicolette Houf, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3925 Cr 3800, Independence, KS 67301
Phone: 636-359-4385    
Terry Goodspeed,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3751 W Main St, Independence, KS 67301
Phone: 620-331-1748    
Miss Dacia Christine Thiele, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 200 Arco Suite 501, Independence, KS 67301
Phone: 620-332-1230    
Yehoshua M. Othniel,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3751 W Main St, Independence, KS 67301
Phone: 620-331-1748    
Ms. Marie Elaine Ingram, LSCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Donald Ave, Independence, KS 67301
Phone: 620-331-3481    Fax: 620-332-5130

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