Prof Pamala Dawn Mize, MS CCC-A is a medicare enrolled "Audiologist" provider in Wytheville, Virginia. Her current practice location is
360 Virginia Ave, Wytheville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 620-3546.
Prof Pamala Dawn Mize is licensed to practice in Virginia (license number 2201000232) 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 1043354301.
Healthcare Provider's Profile
Full Name | Prof Pamala Dawn Mize |
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Gender | Female |
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Speciality | Audiologist |
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Location | 360 Virginia Ave, Wytheville, Virginia |
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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: 1043354301
- Provider Enumeration Date: 02/19/2007
- Last Update Date: 10/15/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698728731
- Enrollment ID: I20050301000294
Medical Identifiers
Medical identifiers for Prof Pamala Dawn Mize such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043354301 | NPI | - | NPPES |
1518125 | Other | VA | FUNDS (UMWA) AUDIOLOGY |
171991 | Other | VA | ANTHEM BCBS AUDIOLOGY |
9450688 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 2201000232 (Virginia) | 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. Prof Pamala Dawn Mize 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 |
Prof Pamala Dawn Mize, MS CCC-A 195 W Pine St, # 103, Wytheville, VA 24382-1954 Ph: (276) 620-3546 | Prof Pamala Dawn Mize, MS CCC-A 360 Virginia Ave, Wytheville, VA 24382-1185 Ph: (276) 620-3546 |
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