Dr Mark Miceli, MSW in Longwood, FL - Medicare Social Worker Provider

Dr Mark Miceli, MSW is a medicare enrolled "Social Worker - Clinical" provider in Longwood, Florida. His current practice location is 455 W Warren Ave, Longwood, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 262-2220.

Dr Mark Miceli is licensed to practice in Florida (license number SW19414) 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 1487306643.

Contact Information

	Dr Mark Miceli, MSW
	455 W Warren Ave, Longwood, FL 32750-4038
	(407) 262-2220
	(407) 834-5011

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Miceli
Gender	Male
Speciality	Social Worker - Clinical
Location	455 W Warren Ave, Longwood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487306643
Provider Enumeration Date: 01/19/2022
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3476928169
Enrollment ID: I20230411002133

Medical Identifiers

Medical identifiers for Dr Mark Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487306643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW19414 (Florida)	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. Dr Mark Miceli allows following entities to bill medicare on his behalf.

Entity Name	Orlando Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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 Mark 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 Address	Practice Location Address
Dr Mark Miceli, MSW 455 W Warren Ave, Longwood, FL 32750-4038 Ph: (407) 262-2220	Dr Mark Miceli, MSW 455 W Warren Ave, Longwood, FL 32750-4038 Ph: (407) 262-2220

Reviews and Comments

Social Worker in Longwood, FL

Vicki Mary Wotring, MSW,CADC, CSAT,EMDR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Crown Oak Centre Dr, Longwood, FL 32750 Phone: 407-270-1070
Luz Divina Estrella Guzman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 890 Georgia Ave, Longwood, FL 32750 Phone: 240-412-5678
Franciny Mena, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2290 N Ronald Reagan Blvd Ste 116, Longwood, FL 32750 Phone: 407-215-0095
Rebecca Datus, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2139 W State Road 434 Ste 102, Longwood, FL 32779 Phone: 407-476-7363 Fax: 407-612-2359
Ms. Michele Greco, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Highway 17/92, Suite 168a, Longwood, FL 32750 Phone: 407-619-6620
Ashley Dillon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 Ciara Creek Cv, Longwood, FL 32750 Phone: 407-479-8827
Mrs. Theresa Grodi-kennon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 341 Brantley Club Pl, Longwood, FL 32779 Phone: 407-718-2185

Dr Mark Miceli, MSW - Medicare Clinical Social Worker in Longwood, FL