Ms Mickie Lynn Cassidy, LSA, CSFA is a
Surgery based in Austin, Texas. Ms Mickie Lynn Cassidy is licensed to practice in Texas (license number SA00649) and her current practice location is
1822 W Braker Ln # 81603, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 973-9222.
NPI number for Ms Mickie Lynn Cassidy is 1033455530 and her current mailing address is 701 Jase Dr, Copperas Cove, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033455530.
Provider's Profile
| Full Name | Ms Mickie Lynn Cassidy |
|---|
| Gender | Female |
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| Speciality | Surgery |
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| Location | 1822 W Braker Ln # 81603, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033455530
- Provider Enumeration Date: 01/02/2013
- Last Update Date: 05/02/2023
Medical Identifiers
Medical identifiers for Ms Mickie Lynn Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033455530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | SA00649 (Texas) | Secondary |
| 208600000X | Surgery | SA00649 (Texas) | 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. Ms Mickie Lynn Cassidy 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 |
|---|
Ms Mickie Lynn Cassidy, LSA, CSFA
701 Jase Dr,
Copperas Cove, TX 76522-4432
Ph: (512) 743-8787 | Ms Mickie Lynn Cassidy, LSA, CSFA
1822 W Braker Ln # 81603,
Austin, TX 78758-3606
Ph: (512) 973-9222 |
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