Mark D Miceli, MD in Coon Rapids, MN

Mark D Miceli, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Coon Rapids, Minnesota. He went to Temple University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Allina Health System and his current practice location is 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 262-1220.

Mark D Miceli is licensed to practice in Minnesota (license number 64833) 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 1184658858.

Contact Information

	Mark D Miceli, MD
	4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522
	(612) 262-1220
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark D Miceli
Gender	Male
Speciality	Psychiatry
Experience	24 Years
Location	4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark D Miceli attended and graduated from Temple University School Of Medicine in 2000

NPI Data:

NPI Number: 1184658858
Provider Enumeration Date: 07/10/2006
Last Update Date: 10/14/2019

Medicare PECOS Information:

PECOS PAC ID: 1951305036
Enrollment ID: I20190306000240

Medical Identifiers

Medical identifiers for Mark D Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184658858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	2017034370 (Missouri)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	25MA07643400 (New Jersey)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	308-320 (Wisconsin)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	64833 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Allina United Hospital	Saint paul, MN	Hospital
Mercy Hospital	Coon rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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. Mark D Miceli allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Mark D 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
Mark D Miceli, MD 114 W 7th St Ste 900, Austin, TX 78701-3013 Ph: (512) 838-4264	Mark D Miceli, MD 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 Ph: (612) 262-1220

Reviews and Comments

Psychiatry & Neurology Doctors in Coon Rapids, MN

Dr. Suzanne T Witterholt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Jayasri Alapati, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-427-8320
Dr. Allan Phillip Ingenito, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-302-4338
Dr. Jaehoon Cho, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-302-4338
Dr. Shilpa Mikkilineni, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Dr. Moeen Ahmad Masood, M.B., B.S. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-302-4338

Mark D Miceli, MD - Medicare Psychiatry in Coon Rapids, MN