Michael L Vick, is a medicare enrolled "Otolaryngology" physician in Dallas, Georgia. His current practice location is
504 W Memorial Dr, Dallas, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 505-7190.
Michael L Vick is licensed to practice in Georgia (license number 044656) 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 1073503165.
Physician's Profile
| Full Name | Michael L Vick |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 504 W Memorial Dr, Dallas, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael L Vick attended and graduated from in
NPI Data:
- NPI Number: 1073503165
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael L Vick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073503165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 044656 (Georgia) | 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. Michael L Vick 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 L Vick,
504 W Memorial Dr,
Dallas, GA 30132-4119
Ph: (770) 505-7190 | Michael L Vick,
504 W Memorial Dr,
Dallas, GA 30132-4119
Ph: (770) 505-7190 |
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