Mirako Zhanay Hickman, in Southfield, MI - Medicare Speech-Language Pathologist Provider

Mirako Zhanay Hickman, is a medicare enrolled "Speech-language Pathologist" provider in Southfield, Michigan. Her current practice location is 28475 Greenfield Road, Ste 113 #7274, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 401-6603.

Mirako Zhanay Hickman is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356935860.

Contact Information

	Mirako Zhanay Hickman,
	28475 Greenfield Road, Ste 113 #7274, Southfield, MI 48076
	(313) 401-6603
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mirako Zhanay Hickman
Gender	Female
Speciality	Speech-language Pathologist
Location	28475 Greenfield Road, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356935860
Provider Enumeration Date: 02/24/2021
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8628451903
Enrollment ID: I20220928001988

Medical Identifiers

Medical identifiers for Mirako Zhanay Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356935860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Mirako Zhanay Hickman allows following entities to bill medicare on her behalf.

Provider Name	Behavioral Outcomes Management,llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184139131 PECOS PAC ID: 1355602426 Enrollment ID: O20180306002107

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. Mirako Zhanay Hickman 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
Mirako Zhanay Hickman, 28475 Greenfield Road, Ste 113 #7274, Southfield, MI 48076 Ph: (313) 913-8155	Mirako Zhanay Hickman, 28475 Greenfield Road, Ste 113 #7274, Southfield, MI 48076 Ph: (313) 401-6603

Reviews and Comments

Speech-Language Pathologist in Southfield, MI

Mr. Jacob Alan Zinke, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29776 Farmbrook Villa Ln, Southfield, MI 48034 Phone: 734-645-5161
Lauren Roshelle Vasquez, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19933 W 13 Mile Rd, Southfield, MI 48076 Phone: 248-203-9000
Janice Kay, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25865 W 12 Mile Rd, Ste. 104, Southfield, MI 48034 Phone: 248-208-7492
Jessica Sargent, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 24111 Civic Center Dr, Southfield, MI 48033 Phone: 248-349-9595
Ms. Raynell Theresa Clark, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25281 Lois Ln, Southfield, MI 48075 Phone: 248-227-4080
Abc Therapy Solutions Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18601 Bainbridge Dr, Southfield, MI 48076 Phone: 248-792-7535
Hanna Kim, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 26715 Greenfield Rd, Southfield, MI 48076 Phone: 248-557-0050

Mirako Zhanay Hickman, - Medicare Speech-Language Pathologist in Southfield, MI