Pamela June Dixon Mitchell, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boyds, Maryland. Her current practice location is
12937 Ethel Rose Way, Boyds, Maryland. You can reach out to her office (for appointments etc.) via phone at
(419) 344-4880.
Pamela June Dixon Mitchell is licensed to practice in Michigan (license number 6301011420) 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 1255666236.
Healthcare Provider's Profile
Full Name | Pamela June Dixon Mitchell |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 12937 Ethel Rose Way, Boyds, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255666236
- Provider Enumeration Date: 10/09/2009
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638214265
- Enrollment ID: I20230227002685
Medical Identifiers
Medical identifiers for Pamela June Dixon Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255666236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301011420 (Michigan) | 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. Pamela June Dixon Mitchell allows following entities to bill medicare on her behalf.
Entity Name | Psychogeriatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803 |
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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. Pamela June Dixon 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 |
Pamela June Dixon Mitchell, PHD 12937 Ethel Rose Way, Boyds, MD 20841-2010 Ph: (734) 936-2047 | Pamela June Dixon Mitchell, PHD 12937 Ethel Rose Way, Boyds, MD 20841-2010 Ph: (419) 344-4880 |
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