| Mark Miceli, DPM | |
|
603 Cox Rd, Gastonia, NC 28054-3432 | |
| (704) 867-7388 | |
| Not Available |
| Full Name | Mark Miceli |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 46 Years |
| Location | 603 Cox Rd, Gastonia, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881678118 | NPI | - | NPPES |
| 341408479 | Other | UHC | |
| 890183P | Medicaid | NC | |
| 0004118131 | Other | AETNA | |
| 0807M | Other | BCBS |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Instride Foot And Ankle Specialists, Pllc | 7012168271 | 47 |
| Provider Name | Carolina Foot & Ankle Specialists Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619935467 PECOS PAC ID: 4284654435 Enrollment ID: O20051201000980 |
| Provider Name | Mark Miceli |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275693509 PECOS PAC ID: 7810997657 Enrollment ID: O20070102000115 |
| Provider Name | Instride Foot And Ankle Specialists, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457601601 PECOS PAC ID: 7012168271 Enrollment ID: O20121115000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Miceli, DPM 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 Ph: (704) 547-0000 | Mark Miceli, DPM 603 Cox Rd, Gastonia, NC 28054-3432 Ph: (704) 867-7388 |
Mr. John Kersey Throckmorton, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 111 E 3rd Ave, Gastonia, NC 28052 Phone: 704-874-3300 Fax: 704-874-0065 | |
Melanie Eubanks, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1421a E Franklin Blvd, Gastonia, NC 28054 Phone: 704-674-9272 | |
Mr. Robert Christopher Olson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2345 Court Drive, Gastonia, NC 28054 Phone: 704-865-0077 Fax: 704-867-6401 | |
Revonda Lashawn Jessup, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2721 X Ray Dr, Gastonia, NC 28054 Phone: 704-874-2255 | |
Dr. David Russell Kirlin I, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274 | |
Dr. Wagner Gilbert Santiago, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 Fax: 704-861-0274 | |
Dr. Randall J Contento, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 251 Wilmot Dr, Gastonia, NC 28054 Phone: 704-861-0425 |