Mrs Erin L Micenheimer, PA-C is a
Physician Assistant - Medical based in Wood River, Illinois. Mrs Erin L Micenheimer is licensed to practice in Illinois (license number 085004262) and her current practice location is
1702 Vaughn Rd, Wood River, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 259-3321.
NPI number for Mrs Erin L Micenheimer is 1871897207 and her current mailing address is 1702 Vaughn Rd, Wood River, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871897207.
Provider's Profile
Full Name | Mrs Erin L Micenheimer |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1702 Vaughn Rd, Wood River, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871897207
- Provider Enumeration Date: 12/28/2010
- Last Update Date: 04/12/2012
Medical Identifiers
Medical identifiers for Mrs Erin L Micenheimer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871897207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 085004262 (Illinois) | 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. Mrs Erin L Micenheimer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Erin L Micenheimer, PA-C 1702 Vaughn Rd, Wood River, IL 62095-1898 Ph: (618) 259-3321 | Mrs Erin L Micenheimer, PA-C 1702 Vaughn Rd, Wood River, IL 62095-1898 Ph: (618) 259-3321 |
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