Dr Michelle Marie Micsko, PHD is a
Psychologist - Clinical based in Lake Quivira, Kansas. Dr Michelle Marie Micsko is licensed to practice in Kansas (license number 0818) and her current practice location is
515 Hillcrest Rd E, Lake Quivira, Kansas. She can be reached at her office (for appointments etc.) via phone at
(913) 631-3800.
NPI number for Dr Michelle Marie Micsko is 1770688228 and her current mailing address is 515 Hillcrest Rd E, Lake Quivira, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770688228.
Healthcare Provider's Profile
Full Name | Dr Michelle Marie Micsko |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 515 Hillcrest Rd E, Lake Quivira, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770688228
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 11/23/2021
Medical Identifiers
Medical identifiers for Dr Michelle Marie Micsko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770688228 | NPI | - | NPPES |
1255098349 | Other | | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY01595 (Missouri) | Secondary |
103TC0700X | Psychologist - Clinical | 0818 (Kansas) | 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. Dr Michelle Marie Micsko 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 |
Dr Michelle Marie Micsko, PHD 515 Hillcrest Rd E, Lake Quivira, KS 66217-8782 Ph: (913) 631-3800 | Dr Michelle Marie Micsko, PHD 515 Hillcrest Rd E, Lake Quivira, KS 66217-8782 Ph: (913) 631-3800 |
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