Dr Micah Prairie Chicken, PHD, LP in Minneapolis, MN

Dr Micah Prairie Chicken, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. His current practice location is 2101 Minnehaha Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 721-9877.

Dr Micah Prairie Chicken is licensed to practice in Minnesota (license number LP6960) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518640473.

Contact Information

	Dr Micah Prairie Chicken, PHD, LP
	2101 Minnehaha Ave, Minneapolis, MN 55404-3107
	(612) 721-9877
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Micah Prairie Chicken
Gender	Male
Speciality	Psychologist - Clinical
Location	2101 Minnehaha Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518640473
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2264895796
Enrollment ID: I20230830002789

Medical Identifiers

Medical identifiers for Dr Micah Prairie Chicken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518640473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP6960 (Minnesota)	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 Micah Prairie Chicken allows following entities to bill medicare on his behalf.

Entity Name	Indian Health Board Of Minneapolis Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811999162 PECOS PAC ID: 6002727849 Enrollment ID: O20050825000069

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 Micah Prairie Chicken 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 Micah Prairie Chicken, PHD, LP 2101 Minnehaha Ave, Minneapolis, MN 55404-3107 Ph: () -	Dr Micah Prairie Chicken, PHD, LP 2101 Minnehaha Ave, Minneapolis, MN 55404-3107 Ph: (612) 721-9877

Reviews and Comments

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Dr Micah Prairie Chicken, PHD, LP - Medicare Psychologist in Minneapolis, MN