| Dr Ivey Annette Mitchell, | |
|
96679 Commodore Point Dr, Yulee, FL 32097-6567 | |
| (239) 634-0743 | |
| Not Available |
| Full Name | Dr Ivey Annette Mitchell |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 96679 Commodore Point Dr, Yulee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851002158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 1685 (Florida) | Primary |
| Entity Name | Meridian Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ivey Annette Mitchell, 96679 Commodore Point Dr, Yulee, FL 32097-6567 Ph: (239) 634-0743 | Dr Ivey Annette Mitchell, 96679 Commodore Point Dr, Yulee, FL 32097-6567 Ph: (239) 634-0743 |
Gerilyn C Worthy-thayer, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-390-7403 | |
Jennifer Ortiz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 851042 Us Highway 17, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-390-7403 | |
Joshua A Kalman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 87010 Professional Way, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-396-8969 |