Gerald Mickler, LAT, ATC is a
Specialist/technologist - Athletic Trainer physician based in Indianapolis, Indiana. Gerald Mickler is licensed to practice in Indiana (license number 36001951A) and his current practice location is 9500 E 16th St, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 532-6200.
NPI number for Gerald Mickler is 1417279969 and his current mailing address is 19173 Roudebush Blvd, Noblesville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417279969.
Physician's Profile
Full Name | Gerald Mickler |
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Gender | Male |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 9500 E 16th St, Indianapolis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417279969
- Provider Enumeration Date: 02/25/2010
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Gerald Mickler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417279969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 0849 (Arizona) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 36001951A (Indiana) | Primary |
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. Gerald Mickler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gerald Mickler, LAT, ATC 19173 Roudebush Blvd, Noblesville, IN 46060-7632 Ph: (317) 385-1345 | Gerald Mickler, LAT, ATC 9500 E 16th St, Indianapolis, IN 46229-2008 Ph: (317) 532-6200 |
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