Ronald F Miciak, MD in Twin Falls, ID - Medicare Hospitalist

Ronald F Miciak, MD is a medicare enrolled "Hospitalist" physician in Twin Falls, Idaho. His current practice location is 801 Pole Line Rd W, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-4100.

Ronald F Miciak is licensed to practice in Idaho (license number M4130) 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 1235179052.

Contact Information

	Ronald F Miciak, MD
	801 Pole Line Rd W, Twin Falls, ID 83301-5810
	(208) 814-4100
	(208) 814-4908

Physician's Profile

Full Name	Ronald F Miciak
Gender	Male
Speciality	Hospitalist
Location	801 Pole Line Rd W, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235179052
Provider Enumeration Date: 06/08/2006
Last Update Date: 05/03/2019

Medicare PECOS Information:

PECOS PAC ID: 7416027321
Enrollment ID: I20080604000416

Medical Identifiers

Medical identifiers for Ronald F Miciak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235179052	NPI	-	NPPES
P00029390	Other	ID	RR MEDICARE
002543700	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	M4130 (Idaho)	Secondary
208M00000X	Hospitalist	M4130 (Idaho)	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. Ronald F Miciak allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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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. Ronald F Miciak 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
Ronald F Miciak, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400	Ronald F Miciak, MD 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-4100

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Hospitalist Doctors in Twin Falls, ID

Kyle Wong, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Dr. Sindy Kay Byington, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 406-927-6976
Dr. Thomas Dirocco, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100

Ronald F Miciak, MD - Medicare Hospitalist in Twin Falls, ID

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Hospitalist Doctors in Twin Falls, ID