Jessica Diane Mitchell, PHD in Canandaigua, NY - Medicare Psychologist Provider

Jessica Diane Mitchell, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Canandaigua, New York. Her current practice location is 3019 County Complex Dr, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 396-4363.

Jessica Diane Mitchell is licensed to practice in * (Not Available) (license number ) 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 1447508791.

Contact Information

	Jessica Diane Mitchell, PHD
	3019 County Complex Dr, Canandaigua, NY 14424-9505
	(585) 396-4363
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Diane Mitchell
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	3019 County Complex Dr, Canandaigua, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447508791
Provider Enumeration Date: 08/16/2012
Last Update Date: 06/05/2019

Medicare PECOS Information:

PECOS PAC ID: 7719113901
Enrollment ID: I20131118000734

Medical Identifiers

Medical identifiers for Jessica Diane Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447508791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	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. Jessica Diane Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Ontario County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003802190 PECOS PAC ID: 3779482252 Enrollment ID: O20040719000682

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. Jessica Diane 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 Address	Practice Location Address
Jessica Diane Mitchell, PHD 2083 County Road 25, Phelps, NY 14532-9609 Ph: (401) 243-7154	Jessica Diane Mitchell, PHD 3019 County Complex Dr, Canandaigua, NY 14424-9505 Ph: (585) 396-4363

Reviews and Comments

Psychologist in Canandaigua, NY

Cynthia Poole, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257
Dr. Sarah Donovan, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5151 Fieldstone Trl, Canandaigua, NY 14424 Phone: 518-428-7430
Ms. Alysse Daansen Foster, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5415 County Road 30, Canandaigua, NY 14424 Phone: 585-394-1190
Caroline Pierpont Payne, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42 North Main Street, Canandaigua, NY 12180 Phone: 585-919-0018 Fax: 585-393-0014
Diane Carol Hahn, Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442
Kimberley Mullen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-393-7613
Kathleen Lewandowski, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257

Jessica Diane Mitchell, PHD - Medicare Psychologist in Canandaigua, NY