| Marian Taylor Strange Mizelle, PA-C | |
|
117 Executive Dr, Danville, VA 24541-4101 | |
| (434) 792-0423 | |
| Not Available |
| Full Name | Marian Taylor Strange Mizelle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 117 Executive Dr, Danville, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205578242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sovah Health Danville | Danville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complexions Dermatology, Pc | 5294977401 | 9 |
| Entity Name | Complexions Dermatology, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538502828 PECOS PAC ID: 5294977401 Enrollment ID: O20130816000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Taylor Strange Mizelle, PA-C 117 Executive Dr, Danville, VA 24541-4101 Ph: (434) 792-0423 | Marian Taylor Strange Mizelle, PA-C 117 Executive Dr, Danville, VA 24541-4101 Ph: (434) 792-0423 |
Casey Alexander Marsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 |
Tina Smith Gatewood, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Main St, Danville, VA 24541 Phone: 434-791-4123 Fax: 434-791-4126 |
Larry C. Phillips Ii, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 441 E Piney Forest Rd, Danville, VA 24540 Phone: 434-791-4110 |
Mr. Robert Wayne Hoffert, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Dr, Danville, VA 24540 Phone: 434-791-2273 |
Dillon Garrett Phillips, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-713-5696 |
Jeremy Shifflett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Enterprise Dr, Danville, VA 24540 Phone: 434-792-2907 |
Eugene F Jackson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Executive Dr, Suite A, Danville, VA 24541 Phone: 434-793-4711 Fax: 434-797-2514 |