Michelle Katherine Priddy, LCPC, ATC/LAT is a
Specialist/technologist - Athletic Trainer based in Centreville, Maryland. Michelle Katherine Priddy is licensed to practice in Maryland (license number A0000014) and her current practice location is
125 Ruthsburg Rd., Centreville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 829-8588.
NPI number for Michelle Katherine Priddy is 1881089084 and her current mailing address is 6190 Rock Hall Rd, Rock Hall, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881089084.
Healthcare Provider's Profile
Full Name | Michelle Katherine Priddy |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 125 Ruthsburg Rd., Centreville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881089084
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 01/27/2022
Medical Identifiers
Medical identifiers for Michelle Katherine Priddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881089084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LC9108 (Maryland) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | A0000014 (Maryland) | 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. Michelle Katherine Priddy 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 |
Michelle Katherine Priddy, LCPC, ATC/LAT 6190 Rock Hall Rd, Rock Hall, MD 21661-2007 Ph: (410) 739-6968 | Michelle Katherine Priddy, LCPC, ATC/LAT 125 Ruthsburg Rd., Centreville, MD 21617 Ph: (410) 829-8588 |
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