Laura Michele Minik, PA-C is a medicare enrolled "Physician Assistant" physician in Beavercreek, Ohio. Her current practice location is
75 Sylvania Dr, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 320-5050.
Laura Michele Minik is licensed to practice in Ohio (license number 50.007120RX) 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 1720742968.
Physician's Profile
Full Name | Laura Michele Minik |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 75 Sylvania Dr, Beavercreek, Ohio |
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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: 1720742968
- Provider Enumeration Date: 10/25/2021
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082004866
- Enrollment ID: I20211209002896
Medical Identifiers
Medical identifiers for Laura Michele Minik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720742968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 50.007120RX (Ohio) | Secondary |
363A00000X | Physician Assistant | 50.007120RX (Ohio) | 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. Laura Michele Minik 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 |
Laura Michele Minik, PA-C 65 Germantown Ct Ste 300, Cordova, TN 38018-4258 Ph: (901) 737-4665 | Laura Michele Minik, PA-C 75 Sylvania Dr, Beavercreek, OH 45440-3237 Ph: (937) 320-5050 |
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