Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM in Rome, GA - Medicare Occupational Therapy Provider

Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM is a medicare enrolled "Occupational Therapist" provider in Rome, Georgia. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Legacy Healthcare Services Inc and her current practice location is 511 W 10th St Ne, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 235-0807.

Mrs Mitzie Marion Colet Mickelson is licensed to practice in Georgia (license number OT004641) 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 1801408802.

Contact Information

	Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM
	511 W 10th St Ne, Rome, GA 30165-2652
	(706) 235-0807
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mitzie Marion Colet Mickelson
Gender	Female
Speciality	Occupational Therapy
Experience	3 Years
Location	511 W 10th St Ne, Rome, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mitzie Marion Colet Mickelson graduated from medical school in 2021

NPI Data:

NPI Number: 1801408802
Provider Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8123408721
Enrollment ID: I20220629000076

Medical Identifiers

Medical identifiers for Mrs Mitzie Marion Colet Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801408802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT004641 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Healthcare Services Inc	2163339722	3341

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. Mrs Mitzie Marion Colet Mickelson allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411

Provider Name	Empowerme Rehabilitation Georgia, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230

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. Mrs Mitzie Marion Colet Mickelson 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
Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM 1501 Summer Gate Way Apt 12, Dalton, GA 30720-5385 Ph: (408) 218-4635	Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM 511 W 10th St Ne, Rome, GA 30165-2652 Ph: (706) 235-0807

Reviews and Comments

Occupational Therapist in Rome, GA

Elvira Aguilar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046
Jacqueline C Hostetler, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Nicklaus Dr Nw, Rome, GA 30165 Phone: 706-346-4666 Fax: 706-232-9303
Alexander Gray Goodson, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1170 Chulio Rd Se, Rome, GA 30161 Phone: 706-235-1132
Stepanie Bays, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242 Fax: 706-295-4260
Hayden Ellis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046
Maggie Brewer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000
Matt Herrin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 W 3rd St Sw, Rome, GA 30165 Phone: 706-295-4242

Mrs Mitzie Marion Colet Mickelson, OTR/L, CPAM - Medicare Occupational Therapist in Rome, GA