Jeannine Mickulas, is a
Behavior Technician based in Dix Hills, New York. Jeannine Mickulas is licensed to practice in * (Not Available) (license number ) and her current practice location is
43 Arista Dr, Dix Hills, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 683-4393.
NPI number for Jeannine Mickulas is 1245650407 and her current mailing address is 43 Arista Dr, Dix Hills, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245650407.
Healthcare Provider's Profile
Full Name | Jeannine Mickulas |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 43 Arista Dr, Dix Hills, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245650407
- Provider Enumeration Date: 04/25/2014
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Jeannine Mickulas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245650407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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. Jeannine Mickulas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeannine Mickulas, 43 Arista Dr, Dix Hills, NY 11746-4920 Ph: (631) 683-4393 | Jeannine Mickulas, 43 Arista Dr, Dix Hills, NY 11746-4920 Ph: (631) 683-4393 |
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