Dr Mathew Miceli, MD is a
Internal Medicine - Hematology & Oncology physician based in Demopolis, Alabama. Dr Mathew Miceli is licensed to practice in Alabama (license number 31266) and his current practice location is 105 Us Highway 80 E, Demopolis, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 287-2647.
NPI number for Dr Mathew Miceli is 1447210745 and his current mailing address is 1400 Afflink Pl, Suite 100, Tuscaloosa, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447210745.
Physician's Profile
| Full Name | Dr Mathew Miceli |
|---|
| Gender | Male |
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| Speciality | Internal Medicine - Hematology & Oncology |
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| Location | 105 Us Highway 80 E, Demopolis, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447210745
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 02/27/2015
Medical Identifiers
Medical identifiers for Dr Mathew Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447210745 | NPI | - | NPPES |
| 02124094 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 20438 (Mississippi) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 31266 (Alabama) | 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 Mathew Miceli 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 |
|---|
Dr Mathew Miceli, MD
1400 Afflink Pl, Suite 100,
Tuscaloosa, AL 35406-2289
Ph: (205) 366-9740 | Dr Mathew Miceli, MD
105 Us Highway 80 E,
Demopolis, AL 36732-3605
Ph: (334) 287-2647 |
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