Jeff L Mickey, T-LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Waterloo, Iowa. His current practice location is
212 W Dale St, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 235-3550.
Jeff L Mickey is licensed to practice in Iowa (license number 120243) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134900079.
Healthcare Provider's Profile
Full Name | Jeff L Mickey |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 212 W Dale St, Waterloo, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134900079
- Provider Enumeration Date: 10/06/2023
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890220305
- Enrollment ID: I20241120004202
Medical Identifiers
Medical identifiers for Jeff L Mickey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134900079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 120243 (Iowa) | Primary |
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. Jeff L Mickey allows following entities to bill medicare on his behalf.
Entity Name | Allen Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
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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. Jeff L Mickey 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 |
Jeff L Mickey, T-LMFT 3616 Panther Ln, Cedar Falls, IA 50613-4919 Ph: () - | Jeff L Mickey, T-LMFT 212 W Dale St, Waterloo, IA 50703-1954 Ph: (319) 235-3550 |
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