Ms Kerry Michelle Mickel, QMHA-I is a
Case Manager/care Coordinator based in Madras, Oregon. Ms Kerry Michelle Mickel is licensed to practice in Oregon (license number 24-QMHA-I-004726) and her current practice location is
850 Sw 4th St Ste 302, Madras, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 475-6575.
NPI number for Ms Kerry Michelle Mickel is 1790413821 and her current mailing address is 340 Nw 5th St Ste 203, Redmond, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790413821.
Healthcare Provider's Profile
Full Name | Ms Kerry Michelle Mickel |
---|
Gender | Female |
---|
Speciality | Case Manager/care Coordinator |
---|
Location | 850 Sw 4th St Ste 302, Madras, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790413821
- Provider Enumeration Date: 08/08/2022
- Last Update Date: 01/29/2025
Medical Identifiers
Medical identifiers for Ms Kerry Michelle Mickel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790413821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 24-QMHA-I-004726 (Oregon) | Secondary |
175T00000X | Peer Specialist | (Oregon) | Secondary |
171M00000X | Case Manager/care Coordinator | 24-QMHA-I-004726 (Oregon) | 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. Ms Kerry Michelle Mickel 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 |
Ms Kerry Michelle Mickel, QMHA-I 340 Nw 5th St Ste 203, Redmond, OR 97756-1869 Ph: (541) 516-4099 | Ms Kerry Michelle Mickel, QMHA-I 850 Sw 4th St Ste 302, Madras, OR 97741-9629 Ph: (541) 475-6575 |
Reviews and Comments