Ingrid Dominic Mitchell, PA - Medicare Physician Assistant in Detroit, MI

Ingrid Dominic Mitchell, PA is a medicare enrolled "Physician Assistant - Medical" in Detroit, Michigan. Her current practice location is 18254 Livernois Ave Ste 1, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 861-4400.

Ingrid Dominic Mitchell is licensed to practice in Michigan (license number 5601003504) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295750677.

Contact Information

Ingrid Dominic Mitchell, PA
18254 Livernois Ave Ste 1,
Detroit, MI 48221-4214
(313) 861-4400
(248) 336-9137

Map and Direction




Provider's Profile

Full NameIngrid Dominic Mitchell
GenderFemale
SpecialityPhysician Assistant - Medical
Location18254 Livernois Ave Ste 1, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295750677
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 06/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3678469889
  • Enrollment ID: I20040225000251

Medical Identifiers

Medical identifiers for Ingrid Dominic Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295750677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601003504 (Michigan)Primary

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. Ingrid Dominic 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
Ingrid Dominic Mitchell, PA
390 Enterprise Ct, Suite 103,
Bloomfield Hills, MI 48302-0320

Ph: (248) 336-4000
Ingrid Dominic Mitchell, PA
18254 Livernois Ave Ste 1,
Detroit, MI 48221-4214

Ph: (313) 861-4400

Reviews and Comments


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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.