Dr Donna Grimsley Mizelle, MD is a medicare enrolled "Family Medicine" physician in Pinewood, South Carolina. Her current practice location is
25 East Clark Street, Pinewood, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 774-4500.
Dr Donna Grimsley Mizelle is licensed to practice in South Carolina (license number 22449) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760427678.
Physician's Profile
| Full Name | Dr Donna Grimsley Mizelle |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 25 East Clark Street, Pinewood, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Donna Grimsley Mizelle attended and graduated from in
NPI Data:
- NPI Number: 1760427678
- Provider Enumeration Date: 06/17/2006
- Last Update Date: 10/25/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Donna Grimsley Mizelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760427678 | NPI | - | NPPES |
| 89135JN | Medicaid | NC | |
| L36646 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 200300669 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 22449 (South Carolina) | 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. Dr Donna Grimsley Mizelle 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 |
|---|
Dr Donna Grimsley Mizelle, MD
25 East Clark Street,
Pinewood, SC 29125
Ph: (803) 774-4500 | Dr Donna Grimsley Mizelle, MD
25 East Clark Street,
Pinewood, SC 29125
Ph: (803) 774-4500 |
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