Micah Di Simone, is a
Peer Specialist based in Portland, Oregon. Micah Di Simone is licensed to practice in * (Not Available) (license number ) and his current practice location is
3036 Ne Mlk Jr Blvd, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 283-3763.
NPI number for Micah Di Simone is 1518568476 and his current mailing address is Po Box 8459, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518568476.
Healthcare Provider's Profile
| Full Name | Micah Di Simone |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3036 Ne Mlk Jr Blvd, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518568476
- Provider Enumeration Date: 11/05/2020
- Last Update Date: 09/29/2022
Medical Identifiers
Medical identifiers for Micah Di Simone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518568476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Micah Di Simone 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 |
|---|
Micah Di Simone,
Po Box 8459,
Portland, OR 97207-8459
Ph: () - | Micah Di Simone,
3036 Ne Mlk Jr Blvd,
Portland, OR 97212-3053
Ph: (503) 283-3763 |
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