Mark D Miceli, MD - Medicare Psychiatry in Coon Rapids, MN

Mark D Miceli, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Coon Rapids, Minnesota. He went to Temple University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Allina Health System and his current practice location is 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 262-1220.

Mark D Miceli is licensed to practice in Minnesota (license number 64833) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184658858.

Contact Information

Mark D Miceli, MD
4050 Coon Rapids Blvd Nw,
Coon Rapids, MN 55433-2522
(612) 262-1220
Not Available



Physician's Profile

Full NameMark D Miceli
GenderMale
SpecialityPsychiatry
Experience24 Years
Location4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark D Miceli attended and graduated from Temple University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1184658858
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 10/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951305036
  • Enrollment ID: I20190306000240

Medical Identifiers

Medical identifiers for Mark D Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184658858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 2017034370 (Missouri)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 25MA07643400 (New Jersey)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 308-320 (Wisconsin)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 64833 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Allina United HospitalSaint paul, MNHospital
Mercy HospitalCoon rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133071

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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. Mark D Miceli allows following entities to bill medicare on his behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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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. Mark D Miceli 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
Mark D Miceli, MD
114 W 7th St Ste 900,
Austin, TX 78701-3013

Ph: (512) 838-4264
Mark D Miceli, MD
4050 Coon Rapids Blvd Nw,
Coon Rapids, MN 55433-2522

Ph: (612) 262-1220

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Psychiatry & Neurology Doctors in Coon Rapids, MN

Dr. Suzanne T Witterholt, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Jayasri Alapati, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433
Phone: 763-427-8320    
Dr. Allan Phillip Ingenito, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433
Phone: 763-427-8320    Fax: 763-302-4338
Dr. Jaehoon Cho, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433
Phone: 763-427-8320    Fax: 763-302-4338
Dr. Shilpa Mikkilineni, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Dr. Moeen Ahmad Masood, M.B., B.S.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433
Phone: 763-427-8320    Fax: 763-302-4338

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