Micah Driscoll, in Valparaiso, IN - Medicare Nurse Practitioner

Micah Driscoll, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Valparaiso, Indiana. His current practice location is 601 Wall St, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 531-3500.

Micah Driscoll is licensed to practice in Indiana (license number 71014117A) 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 1609567957.

Contact Information

	Micah Driscoll,
	601 Wall St, Valparaiso, IN 46383-2512
	(219) 531-3500
	Not Available

Map and Direction

Provider's Profile

Full Name	Micah Driscoll
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	601 Wall St, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609567957
Provider Enumeration Date: 05/17/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9638532435
Enrollment ID: I20230828000206

Medical Identifiers

Medical identifiers for Micah Driscoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609567957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R220189-4 (Minnesota)	Secondary
163W00000X	Registered Nurse	28235293A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71014117A (Indiana)	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. Micah Driscoll allows following entities to bill medicare on his behalf.

Entity Name	Porter-starke Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098

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. Micah Driscoll 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
Micah Driscoll, 601 Wall St, Valparaiso, IN 46383-2512 Ph: (219) 531-3500	Micah Driscoll, 601 Wall St, Valparaiso, IN 46383-2512 Ph: (219) 531-3500

Reviews and Comments

Nurse Practitioner Nurses in Valparaiso, IN

Miss Jessica Diehl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2307 Laporte Ave Ste 8, Valparaiso, IN 46383 Phone: 219-464-7073 Fax: 219-464-7543
Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045
Melissa M Dvorscak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Cumberland Xing, Valparaiso, IN 46383 Phone: 219-763-8112 Fax: 219-764-5380
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240

Micah Driscoll, - Medicare Nurse Practitioner in Valparaiso, IN