Jessica Miccio, is a medicare enrolled "Obstetrics & Gynecology" in Cleveland, Ohio. Her current practice location is
9500 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 696-4300.
Jessica Miccio is licensed to practice in Ohio (license number 50.008480RX) 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 1487391124.
Provider's Profile
Full Name | Jessica Miccio |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 9500 Euclid Ave, Cleveland, 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: 1487391124
- Provider Enumeration Date: 05/15/2022
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517338122
- Enrollment ID: I20230118002186
Medical Identifiers
Medical identifiers for Jessica Miccio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487391124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | 50.008480RX (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. Jessica Miccio 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 |
Jessica Miccio, 6225 County Road 23, Orland, CA 95963-9491 Ph: () - | Jessica Miccio, 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 696-4300 |
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