Dr Laurie Elizabeth Mickle, MD - Medicare Pediatrics in Owasso, OK

Dr Laurie Elizabeth Mickle, MD is a medicare enrolled "Pediatrics" physician in Owasso, Oklahoma. Her current practice location is 10512 N 110th East Ave, Suite 300, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 376-8901.

Dr Laurie Elizabeth Mickle is licensed to practice in Oklahoma (license number 17332) 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 1194779744.

Contact Information

Dr Laurie Elizabeth Mickle, MD
10512 N 110th East Ave, Suite 300,
Owasso, OK 74055-6636
(918) 376-8901
(918) 376-8939



Physician's Profile

Full NameDr Laurie Elizabeth Mickle
GenderFemale
SpecialityPediatrics
Location10512 N 110th East Ave, Owasso, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194779744
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 05/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1759357924
  • Enrollment ID: I20120131000558

Medical Identifiers

Medical identifiers for Dr Laurie Elizabeth Mickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194779744NPI-NPPES
100090800AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 17332 (Oklahoma)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 Laurie Elizabeth Mickle 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 AddressPractice Location Address
Dr Laurie Elizabeth Mickle, MD
10512 N 110th East Ave, Suite 300,
Owasso, OK 74055-6636

Ph: (918) 376-8901
Dr Laurie Elizabeth Mickle, MD
10512 N 110th East Ave, Suite 300,
Owasso, OK 74055-6636

Ph: (918) 376-8901

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› Verified 8 days ago


Pediatrics Doctors in Owasso, OK

Dr. Christopher Fife Hebertson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12455 E 100th St N Ste 300, Owasso, OK 74055
Phone: 918-274-9700    Fax: 918-274-1395
Dr. Theresa Lynn Horton, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10512 N 110th East Ave, Owasso, OK 74055
Phone: 918-376-8901    Fax: 918-376-8939
Dr. Lauri Sue Blesch, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10512 N 110th East Ave, Ste 240, Owasso, OK 74055
Phone: 918-376-8901    Fax: 918-376-8929
Mrs. Cheryl Ann Boyd, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8439 N 117th East Ave, Owasso, OK 74055
Phone: 918-272-8989    Fax: 918-272-4185
Dr. Elizabeth Trigalet Bader, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12150 E 96th St N Ste 101, Owasso, OK 74055
Phone: 918-716-5437    Fax: 539-202-5020
Dr. Brian Scott Mcdowell, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12455 E 100th St N, Suite 280, Owasso, OK 74055
Phone: 918-274-9700    

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