Mrs Teri Renee Mickevicius, MA CCC-SLP is a
Speech-language Pathologist based in Gregory, Michigan. Mrs Teri Renee Mickevicius is licensed to practice in Michigan (license number 7101001364) and her current practice location is
7941 Stonehedge Valley Dr, Gregory, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 649-9261.
NPI number for Mrs Teri Renee Mickevicius is 1225600976 and her current mailing address is 7941 Stonehedge Valley Dr, Gregory, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225600976.
Healthcare Provider's Profile
Full Name | Mrs Teri Renee Mickevicius |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 7941 Stonehedge Valley Dr, Gregory, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225600976
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 07/13/2021
Medical Identifiers
Medical identifiers for Mrs Teri Renee Mickevicius such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225600976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101001364 (Michigan) | 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. Mrs Teri Renee Mickevicius 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 |
Mrs Teri Renee Mickevicius, MA CCC-SLP 7941 Stonehedge Valley Dr, Gregory, MI 48137-9752 Ph: (734) 649-9261 | Mrs Teri Renee Mickevicius, MA CCC-SLP 7941 Stonehedge Valley Dr, Gregory, MI 48137-9752 Ph: (734) 649-9261 |
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