Ivana Micic, in Salt Lake City, UT - Medicare Counselor Provider

Ivana Micic, is a medicare enrolled "Counselor - Mental Health" provider in Salt Lake City, Utah. Her current practice location is 150 E 700 S, Project Reality, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 364-8080.

Ivana Micic is licensed to practice in Utah (license number 9424937-3501) 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 1801238431.

Contact Information

	Ivana Micic,
	150 E 700 S, Project Reality, Salt Lake City, UT 84111-3806
	(801) 364-8080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ivana Micic
Gender	Female
Speciality	Counselor - Mental Health
Location	150 E 700 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801238431
Provider Enumeration Date: 07/24/2013
Last Update Date: 06/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6608256243
Enrollment ID: I20220629001737

Medical Identifiers

Medical identifiers for Ivana Micic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801238431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9424937-3501 (Utah)	Primary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary

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. Ivana Micic allows following entities to bill medicare on her behalf.

Entity Name	Project Reality
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134211626 PECOS PAC ID: 4082669825 Enrollment ID: O20050315000564

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. Ivana Micic 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
Ivana Micic, 166 E Coatsville Ave, Salt Lake City, UT 84115-1925 Ph: (801) 615-4246	Ivana Micic, 150 E 700 S, Project Reality, Salt Lake City, UT 84111-3806 Ph: (801) 364-8080

Reviews and Comments

Counselor in Salt Lake City, UT

Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455
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Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864

Ivana Micic, - Medicare Counselor in Salt Lake City, UT