Harold Mitchell Jr, OTD - Medicare Occupational Therapist in Riverdale, GA

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.

Contact Information

Harold Mitchell Jr, OTD
11 Upper Riverdale Rd Sw,
Riverdale, GA 30274-2615
(770) 991-8000
Not Available



Physician's Profile

Full NameHarold Mitchell Jr
GenderMale
SpecialityOccupational Therapist
Location11 Upper Riverdale Rd Sw, Riverdale, Georgia
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1689358277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics OT006225 (Georgia)Secondary
225X00000XOccupational 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 NameEmpowerme Rehabilitation Georgia, Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1952934374
PECOS PAC ID: 4284063835
Enrollment ID: O20200401003230

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Entity NameOnr National Speech Pathology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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