Dr Jay Marc Mickenberg, DPM in Pasadena, MD - Medicare Podiatry Provider

Dr Jay Marc Mickenberg, DPM is a medicare enrolled "Podiatrist" provider in Pasadena, Maryland. He went to Temple University School Of Podiatric Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Podiatry. His current practice location is 8094 Edwin Raynor Blvd, Suite C, Pasadena, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 255-0040.

Dr Jay Marc Mickenberg is licensed to practice in Maryland (license number 1053) 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 1336149962.

Contact Information

	Dr Jay Marc Mickenberg, DPM
	8094 Edwin Raynor Blvd, Suite C, Pasadena, MD 21122-6834
	(410) 255-0040
	(410) 360-4955

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jay Marc Mickenberg
Gender	Male
Speciality	Podiatry
Experience	36 Years
Location	8094 Edwin Raynor Blvd, Pasadena, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jay Marc Mickenberg attended and graduated from Temple University School Of Podiatric Medicine in 1989

NPI Data:

NPI Number: 1336149962
Provider Enumeration Date: 07/26/2005
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 1052424868
Enrollment ID: I20110511000034

Medical Identifiers

Medical identifiers for Dr Jay Marc Mickenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336149962	NPI	-	NPPES
T276	Other	MD	BC/BS OF MD
062308301	Medicaid	MD
521617469	Other		UNITED HEALTHCARE
B765 001	Other		BC/BS FEDERAL
1338463	Other		CIGNA PPO/HMO
521617469	Other		EMPLOYER HEALTH INSURANCE
521617469	Other		COVENTRY
521617469	Other		FIRST HEALTH
521617469	Other		MAMSI
521617469	Other		TRICARE
217484	Other		ALLIANCE
521617469	Other		EHP
B765	Other	MD	BLUE CHOICE
217484	Other		MDIPA/OPTIMUM CHOICE
480012800	Other		RAILROAD MEDICARE
521617469	Other		CIGNA HEALTHCARE OPEN ACC
521617469	Other		FIDELITY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	1053 (Maryland)	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. Dr Jay Marc Mickenberg allows following entities to bill medicare on his behalf.

Provider Name	Mickenbergs Ambulatory Foot Care Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386822104 PECOS PAC ID: 6608995725 Enrollment ID: O20110510000850

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. Dr Jay Marc Mickenberg 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
Dr Jay Marc Mickenberg, DPM 8094 Edwin Raynor Blvd, Suite C, Pasadena, MD 21122-6834 Ph: (410) 255-0040	Dr Jay Marc Mickenberg, DPM 8094 Edwin Raynor Blvd, Suite C, Pasadena, MD 21122-6834 Ph: (410) 255-0040

Reviews and Comments

Podiatrist in Pasadena, MD

Pasadena Foot And Ankle Center, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 8023 Ritchie Hwy, Pasadena, MD 21122 Phone: 410-761-4190 Fax: 410-761-0265
Dr. Donald Harrison, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8023 Ritchie Hwy., Suite B, Pasadena, MD 21122 Phone: 240-437-3861 Fax: 240-609-0345
Joseph Osler Brice, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3021 Mountain Rd Ste A, Pasadena, MD 21122 Phone: 410-437-9366 Fax: 410-437-8107
Jenny Nguyen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8028 Ritchie Hwy, Suite 100, Pasadena, MD 21122 Phone: 410-768-5800 Fax: 410-768-5806
Dr. Ira J Gottlieb, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8030b Ritchie Hwy, Pasadena, MD 21122 Phone: 410-761-0118 Fax: 410-761-5118
Bayside Foot & Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8023 Ritchie Hwy, Pasadena, MD 21122 Phone: 410-761-4190 Fax: 410-761-0265

Dr Jay Marc Mickenberg, DPM - Medicare Podiatrist in Pasadena, MD