Dr Salvatore J Miceli, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Smithville, Missouri. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2000 and has 25 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Legacy Healthcare Services Inc, Saint Lukes Physician Group Inc and his current practice location is
601 S 169 Highway, Smithville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 532-7141.
Dr Salvatore J Miceli is licensed to practice in Missouri (license number 2004017637) 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 1528179405.
Physician's Profile
| Full Name | Dr Salvatore J Miceli |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 25 Years |
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| Location | 601 S 169 Highway, Smithville, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Salvatore J Miceli attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2000
NPI Data:
- NPI Number: 1528179405
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 5395799290
- Enrollment ID: I20050303000701
Medical Identifiers
Medical identifiers for Dr Salvatore J Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528179405 | NPI | - | NPPES |
| 2073203000 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 05-30894 (Kansas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2004017637 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Saint Lukes Physician Group Inc | 3577476894 | 1052 |
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. Dr Salvatore J Miceli allows following entities to bill medicare on his behalf.
| Entity Name | Saint Lukes Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093263717
PECOS PAC ID: 3577476894
Enrollment ID: O20031111000818 |
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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. Dr Salvatore J Miceli 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 |
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Dr Salvatore J Miceli, DO
Po Box 504538,
Saint Louis, MO 63150-4538
Ph: (816) 932-7940 | Dr Salvatore J Miceli, DO
601 S 169 Highway,
Smithville, MO 64089
Ph: (816) 532-7141 |
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