Michael David Puricelli, MD in Overland Park, KS

Michael David Puricelli, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Overland Park, Kansas. His current practice location is 5808 W 110th St, Overland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 696-8000.

Michael David Puricelli is licensed to practice in Missouri (license number 2024039721) 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 1679834089.

Contact Information

	Michael David Puricelli, MD
	5808 W 110th St, Overland Park, KS 66211-2504
	(913) 696-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael David Puricelli
Gender	Male
Speciality	Otolaryngology - Pediatric Otolaryngology
Location	5808 W 110th St, Overland Park, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679834089
Provider Enumeration Date: 06/01/2012
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2365672912
Enrollment ID: I20200519000306

Medical Identifiers

Medical identifiers for Michael David Puricelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679834089	NPI	-	NPPES
2024039721	Other	MO	MO BOARD OF HEALING ARTS
04-49773	Other	KS	KANSAS BOARD OF HEALTH ARTS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	73082-20 (Wisconsin)	Secondary
207YP0228X	Otolaryngology - Pediatric Otolaryngology	04-49773 (Kansas)	Secondary
207YX0901X	Otolaryngology - Otology & Neurotology	2024039721 (Missouri)	Secondary
207YX0901X	Otolaryngology - Otology & Neurotology	04-49773 (Kansas)	Secondary
207YP0228X	Otolaryngology - Pediatric Otolaryngology	2024039721 (Missouri)	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. Michael David Puricelli allows following entities to bill medicare on his behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

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. Michael David Puricelli 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
Michael David Puricelli, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3000	Michael David Puricelli, MD 5808 W 110th St, Overland Park, KS 66211-2504 Ph: (913) 696-8000

Reviews and Comments

Otolaryngology Doctors in Overland Park, KS

Dr. Kenneth Allan Buchwach, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 5701 W 119th St, Suite 320, Overland Park, KS 66209 Phone: 913-491-1400
Mark Jeffrey Maslan, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 5520 College Blvd, Suite 350, Overland Park, KS 66211 Phone: 913-663-5100 Fax: 913-663-3354
Dr. Mark Stephen Walton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5370 College Blvd, Suite 100, Overland Park, KS 66211 Phone: 913-599-4800 Fax: 913-599-2992
Dr. Jeffrey Desmond Markey, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 14340 Metcalf Ave, Overland Park, KS 66223 Phone: 913-914-5975
Eugene Bortnick, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 350, Overland Park, KS 66211 Phone: 913-663-5100 Fax: 913-663-3354
Dr. Bradley John Seaman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5701 W 119th St Ste 425, Overland Park, KS 66209 Phone: 913-721-3387 Fax: 816-875-2598
Dr. Carson Tyler Williams, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5370 College Blvd Ste 100, Overland Park, KS 66211 Phone: 913-599-4800 Fax: 913-599-2297

Michael David Puricelli, MD - Medicare Otolaryngology in Overland Park, KS