Dr Tara Ann Mitchell, PHD | |
4348 Electric Rd, Roanoke, VA 24018-0720 | |
(540) 769-0976 | |
(540) 857-5385 |
Full Name | Dr Tara Ann Mitchell |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 4348 Electric Rd, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548372311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Entity Name | Carilion Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
Entity Name | Carilion Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
Mailing Address | Practice Location Address |
---|---|
Dr Tara Ann Mitchell, PHD 1030 S Jefferson St, Suite 201, Roanoke, VA 24016-4418 Ph: (540) 224-4520 | Dr Tara Ann Mitchell, PHD 4348 Electric Rd, Roanoke, VA 24018-0720 Ph: (540) 769-0976 |
Nicole Pagano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-561-3900 | |
Ms. Lisa Jane Booan, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 Plantation Cir, Roanoke, VA 24019 Phone: 540-561-8175 | |
Mrs. Jillian Shillaber, LCP, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4346 Starkey Rd, Suite 1, Roanoke, VA 24018 Phone: 540-772-8043 Fax: 540-772-8242 | |
Janet Brockington Kegley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2648 Fax: 540-853-2469 | |
Kristen Micheal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-562-3900 | |
Savannah Marie Childers Hommema, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2502 | |
Dr. Ronald L Webster, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7851 Enon Dr, Roanoke, VA 24019 Phone: 540-265-5666 Fax: 540-265-0386 |