Dr Elizabeth Ann Micks, MD, MPH | |
3770 Janes Rd, Arcata, CA 95521-4744 | |
(707) 825-7588 | |
Not Available |
Full Name | Dr Elizabeth Ann Micks |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 3770 Janes Rd, Arcata, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144405119 | NPI | - | NPPES |
0293831 | Other | L&I | |
1144405119 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD60150794 (Washington) | Primary |
Entity Name | Open Door Community Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
Mailing Address | Practice Location Address |
---|---|
Dr Elizabeth Ann Micks, MD, MPH 3770 Janes Rd, Arcata, CA 95521-4744 Ph: (707) 825-7588 | Dr Elizabeth Ann Micks, MD, MPH 3770 Janes Rd, Arcata, CA 95521-4744 Ph: (707) 825-7588 |
Dr. Kim Suzanne Ervin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3798 Janes Rd Ste 5, Arcata, CA 95521 Phone: 707-825-7588 Fax: 707-825-8203 | |
Emma Hackett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3798 Janes Rd Ste 5, Arcata, CA 95521 Phone: 707-825-7588 Fax: 707-825-8203 |