Michelline Karen Kiezer-roles, LMFT in Sunrise, FL - Medicare Marriage & Family Therapist Provider

Michelline Karen Kiezer-roles, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Sunrise, Florida. Her current practice location is 3741 Nw 95th Ter Apt 1503, Sunrise, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 408-4184.

Michelline Karen Kiezer-roles is licensed to practice in Florida (license number MT3663) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942547583.

Contact Information

	Michelline Karen Kiezer-roles, LMFT
	3741 Nw 95th Ter Apt 1503, Sunrise, FL 33351-6481
	(954) 408-4184
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelline Karen Kiezer-roles
Gender	Female
Speciality	Marriage & Family Therapist
Location	3741 Nw 95th Ter Apt 1503, Sunrise, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942547583
Provider Enumeration Date: 01/15/2013
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1951740521
Enrollment ID: I20240415004138

Medical Identifiers

Medical identifiers for Michelline Karen Kiezer-roles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942547583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MT3663 (Florida)	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. Michelline Karen Kiezer-roles allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Michelline Karen Kiezer-roles 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
Michelline Karen Kiezer-roles, LMFT 3741 Nw 95th Ter Apt 1503, Sunrise, FL 33351-6481 Ph: (954) 408-4184	Michelline Karen Kiezer-roles, LMFT 3741 Nw 95th Ter Apt 1503, Sunrise, FL 33351-6481 Ph: (954) 408-4184

Reviews and Comments

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Michelline Karen Kiezer-roles, LMFT - Medicare Couples Therapy in Sunrise, FL