Karleena Marie Mickle, FNP is a medicare enrolled "Nurse Practitioner" physician in Corning, New York. Her current practice location is
1 Guthrie Dr, Corning, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 973-7200.
Karleena Marie Mickle is licensed to practice in New York (license number F344644) 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 1316509383.
Physician's Profile
Full Name | Karleena Marie Mickle |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner |
---|
Location | 1 Guthrie Dr, Corning, New York |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316509383
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 04/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315379419
- Enrollment ID: I20191111002587
Medical Identifiers
Medical identifiers for Karleena Marie Mickle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316509383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 344644 (New York) | Secondary |
363L00000X | Nurse Practitioner | F344644 (New York) | 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. Karleena Marie Mickle allows following entities to bill medicare on her behalf.
Entity Name | Guthrie Medical Group Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
---|
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. Karleena Marie Mickle 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 |
Karleena Marie Mickle, FNP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Karleena Marie Mickle, FNP 1 Guthrie Dr, Corning, NY 14830-3696 Ph: (607) 973-7200 |
Reviews and Comments