Mark J Micciche, DPM in Scranton, PA - Medicare Podiatry Provider

Mark J Micciche, DPM is a medicare enrolled "Podiatrist" provider in Scranton, Pennsylvania. He went to Temple University School Of Podiatric Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Geisinger Clinic and his current practice location is 1800 Mulberry St, Scranton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 703-8146.

Mark J Micciche is licensed to practice in Pennsylvania (license number SC-003638-L) 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 1336195031.

Contact Information

	Mark J Micciche, DPM
	1800 Mulberry St, Scranton, PA 18510-2369
	(570) 703-8146
	(570) 703-7205

Map and Direction

Healthcare Provider's Profile

Full Name	Mark J Micciche
Gender	Male
Speciality	Podiatry
Experience	33 Years
Location	1800 Mulberry St, Scranton, Pennsylvania
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:

Mark J Micciche attended and graduated from Temple University School Of Podiatric Medicine in 1991

NPI Data:

NPI Number: 1336195031
Provider Enumeration Date: 05/25/2006
Last Update Date: 08/21/2020

Medicare PECOS Information:

PECOS PAC ID: 1759353618
Enrollment ID: I20040811000159

Medical Identifiers

Medical identifiers for Mark J Micciche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336195031	NPI	-	NPPES
0015256920005	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	SC-003638-L (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger-community Medical Center	Scranton, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2841

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. Mark J Micciche allows following entities to bill medicare on his behalf.

Provider Name	Laporta And Associates,pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225075765 PECOS PAC ID: 8022919281 Enrollment ID: O20040120000350

Provider Name	Geisinger Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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. Mark J Micciche 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
Mark J Micciche, DPM 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Mark J Micciche, DPM 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-8146

Reviews and Comments

Podiatrist in Scranton, PA

David J Flannery, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 201 N Main Ave, Scranton, PA 18504 Phone: 570-342-4009 Fax: 570-342-4326
Dr. Larry Jay Grossinger, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 321 Spruce Street, 6th Floor, Scranton, PA 18503 Phone: 570-342-7814
Nicole Marie Branning, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8146 Fax: 570-703-7205
Gina Marie Palazzi, Podiatrist Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-493-0760
William Mark Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1789 N Keyser Ave, Scranton, PA 18508 Phone: 570-207-2030 Fax: 570-207-2036
Joseph Hyungeun Kim, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-594-5915

Mark J Micciche, DPM - Medicare Podiatrist in Scranton, PA