Dr Luke Gildo Mirabelli, MD - Medicare Student in an Organized Health Care Education/Training Program in Kansas City, KS

Dr Luke Gildo Mirabelli, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kansas City, Kansas. His current practice location is 3901 Rainbow Blvd # Ms 1060, Kansas City, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 588-5276.

Dr Luke Gildo Mirabelli is licensed to practice in * (Not Available) (license number ) 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 1710447255.

Contact Information

Dr Luke Gildo Mirabelli, MD
3901 Rainbow Blvd # Ms 1060,
Kansas City, KS 66160-8500
(913) 588-5276
(913) 588-3974



Physician's Profile

Full NameDr Luke Gildo Mirabelli
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location3901 Rainbow Blvd # Ms 1060, Kansas City, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710447255
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244565943
  • Enrollment ID: I20190717003576

Medical Identifiers

Medical identifiers for Dr Luke Gildo Mirabelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710447255NPI-NPPES
94-09805OtherKSKANSAS STATE BOARD OF HEALING ARTS
2023025341OtherMOMISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 2023025341 (Missouri)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 94-09805 (Kansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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 Luke Gildo Mirabelli 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 Luke Gildo Mirabelli, MD
3901 Rainbow Blvd # Ms 1060,
Kansas City, KS 66160-8500

Ph: (913) 588-5000
Dr Luke Gildo Mirabelli, MD
3901 Rainbow Blvd # Ms 1060,
Kansas City, KS 66160-8500

Ph: (913) 588-5276

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