Dr Kurt P Miceli, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Elwyn, Pennsylvania. His current practice location is
111 Elwyn Rd, Elwyn, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 891-7385.
Dr Kurt P Miceli is licensed to practice in Pennsylvania (license number MD442574) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316155450.
Physician's Profile
Full Name | Dr Kurt P Miceli |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 111 Elwyn Rd, Elwyn, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316155450
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 01/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608941869
- Enrollment ID: I20150917000129
Medical Identifiers
Medical identifiers for Dr Kurt P Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316155450 | NPI | - | NPPES |
1316155450 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD442574 (Pennsylvania) | 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. Dr Kurt P Miceli allows following entities to bill medicare on his behalf.
Entity Name | Bancroft Rehabilitation Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598808941 PECOS PAC ID: 4789582446 Enrollment ID: O20031219000562 |
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Entity Name | Marcroft Medical Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881064442 PECOS PAC ID: 1254638679 Enrollment ID: O20160330002175 |
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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 Kurt P 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 |
Dr Kurt P Miceli, MD 1255 Caldwell Rd, Cherry Hill, NJ 08034-3220 Ph: (856) 324-3256 | Dr Kurt P Miceli, MD 111 Elwyn Rd, Elwyn, PA 19063-4622 Ph: (610) 891-7385 |
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