D'andra Mixon-walker, PA-C is a medicare enrolled "Physician Assistant" in Summit, Illinois. Her current practice location is
7450 W 63rd St, Summit, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 458-0757.
D'andra Mixon-walker 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 1285375188.
Provider's Profile
Full Name | D'andra Mixon-walker |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 7450 W 63rd St, Summit, Illinois |
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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: 1285375188
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618348350
- Enrollment ID: I20230117002429
Medical Identifiers
Medical identifiers for D'andra Mixon-walker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285375188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. D'andra Mixon-walker 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 |
D'andra Mixon-walker, PA-C 1724 E 36th Ave, Denver, CO 80205-4033 Ph: (720) 327-0122 | D'andra Mixon-walker, PA-C 7450 W 63rd St, Summit, IL 60501-1816 Ph: (708) 458-0757 |
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