| Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM | |
|
511 W 10th St Ne, Rome, GA 30165-2652 | |
| (706) 235-0807 | |
| Not Available |
| Full Name | Mrs Mitzie Marion Colet Mickelson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 3 Years |
| Location | 511 W 10th St Ne, Rome, Georgia |
| 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 |
|---|---|---|---|
| 1801408802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT004641 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Horizons Therapy Group, Inc. | 5496781627 | 8 |
| The Weston Group Inc | 8123936796 | 113 |
| Paxxon Healthcare Services Llc | 8325959554 | 149 |
| Provider Name | The Weston Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841309101 PECOS PAC ID: 8123936796 Enrollment ID: O20050719000195 |
| Provider Name | Horizons Therapy Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720373020 PECOS PAC ID: 5496781627 Enrollment ID: O20110621000685 |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386917532 PECOS PAC ID: 8325959554 Enrollment ID: O20120409000213 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Empowerme Rehabilitation Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM 1501 Summer Gate Way Apt 12, Dalton, GA 30720-5385 Ph: (408) 218-4635 | Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM 511 W 10th St Ne, Rome, GA 30165-2652 Ph: (706) 235-0807 |
Elvira Aguilar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Jacqueline C Hostetler, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Nicklaus Dr Nw, Rome, GA 30165 Phone: 706-346-4666 Fax: 706-232-9303 | |
Alexander Gray Goodson, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1170 Chulio Rd Se, Rome, GA 30161 Phone: 706-235-1132 | |
Stepanie Bays, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260 | |
Hayden Ellis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 | |
Maggie Brewer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 | |
Matt Herrin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 |