Carl Terence Mickman, MD - Medicare Emergency Medicine in New York, NY

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Carl Terence Mickman, MD is a medicare enrolled "Emergency Medicine" physician in New York, New York. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2014 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St. Bernard Emergency Group, Llc and his current practice location is 1 Gustave L Levy Pl, Box 1149, New York, New York. You can reach out to his office (for appointments etc.) via phone at (612) 618-7945.

Carl Terence Mickman is licensed to practice in New York (license number 294040) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124445242.

Contact Information

Carl Terence Mickman, MD
1 Gustave L Levy Pl, Box 1149,
New York, NY 10029-6504
(612) 618-7945
Not Available

Map and Direction




Physician's Profile

Full NameCarl Terence Mickman
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location1 Gustave L Levy Pl, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carl Terence Mickman attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2014
  NPI Data:
  • NPI Number: 1124445242
  • Provider Enumeration Date: 03/26/2014
  • Last Update Date: 06/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729333133
  • Enrollment ID: I20210810003901

Medical Identifiers

Medical identifiers for Carl Terence Mickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124445242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 326621 (Louisiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New York)Secondary
207P00000XEmergency Medicine 294040 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Red Lake Hospital ARedlake, MNHospital
Opelousas General Health SystemOpelousas, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Bernard Emergency Group, Llc478996097222

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. Carl Terence Mickman allows following entities to bill medicare on his behalf.
Entity NameOchsner Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513
Entity NameKenner Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013986546
PECOS PAC ID: 8426011230
Enrollment ID: O20041111000475
Entity NameSt. John Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265401509
PECOS PAC ID: 4082641303
Enrollment ID: O20050719000541
Entity NameSlidell Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295158418
PECOS PAC ID: 1254562663
Enrollment ID: O20140328000931
Entity NameBelle Chasse Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851714075
PECOS PAC ID: 7113140070
Enrollment ID: O20140521001580
Entity NameProfessional Emergency Medicine Management -- Lake Charles Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023430766
PECOS PAC ID: 7012131378
Enrollment ID: O20140609000077
Entity NameLuling Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528446101
PECOS PAC ID: 8325352636
Enrollment ID: O20150730013151
Entity NameThibodaux Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568910503
PECOS PAC ID: 2769760537
Enrollment ID: O20161028001769
Entity NameSt. Bernard Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306386685
PECOS PAC ID: 4789960972
Enrollment ID: O20170425001231
Entity NameRiverside Emergency Physician Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083107080
PECOS PAC ID: 0042568917
Enrollment ID: O20180809000406
Entity NameVincent Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740816917
PECOS PAC ID: 0840621926
Enrollment ID: O20200505000479

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. Carl Terence Mickman 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 AddressPractice Location Address
Carl Terence Mickman, MD
1 Gustave L Levy Pl, Box 1149,
New York, NY 10029-6504

Ph: (612) 618-7945		Carl Terence Mickman, MD
1 Gustave L Levy Pl, Box 1149,
New York, NY 10029-6504

Ph: (612) 618-7945

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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