Dr Patrick Vincent Mitchell, PSYD | |
55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | |
(800) 370-3651 | |
Not Available |
Full Name | Dr Patrick Vincent Mitchell |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 11 Years |
Location | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326473042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PS017681 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Entity Name | Meditelecare Of Pennsylvania Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396351847 PECOS PAC ID: 8527488030 Enrollment ID: O20201022002321 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick Vincent Mitchell, PSYD 2401 Olive St, Philadelphia, PA 19130-2523 Ph: (610) 764-5920 | Dr Patrick Vincent Mitchell, PSYD 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 Ph: (800) 370-3651 |
Leland Reback, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 | |
Dr. Holly Ann Schiff, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 19 Halls Rd # 234, Old Lyme, CT 06371 Phone: 959-666-3777 Fax: 855-268-5333 | |
Nicola Giordano, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 860-510-0020 | |
Robert Dean, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19 Halls Rd, #234, Old Lyme, CT 06371 Phone: 860-434-5398 Fax: 860-434-5473 | |
Walter Krauss, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 Fax: 877-515-7147 | |
Gloria Avolio, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Hatchetts Hill Rd, Old Lyme, CT 06371 Phone: 800-370-3651 |