Michael Mickelson, LCSW in Cheyenne, WY - Medicare Social Worker Provider

Michael Mickelson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cheyenne, Wyoming. His current practice location is 2360 E Pershing Blvd, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 778-7550.

Michael Mickelson is licensed to practice in Wyoming (license number LCSW1145) 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 1780928093.

Contact Information

	Michael Mickelson, LCSW
	2360 E Pershing Blvd, Cheyenne, WY 82001-5356
	(307) 778-7550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Mickelson
Gender	Male
Speciality	Social Worker - Clinical
Location	2360 E Pershing Blvd, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780928093
Provider Enumeration Date: 11/27/2012
Last Update Date: 04/27/2020

Medicare PECOS Information:

PECOS PAC ID: 3577085158
Enrollment ID: I20250324002715

Medical Identifiers

Medical identifiers for Michael Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780928093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW1145 (Wyoming)	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. Michael Mickelson allows following entities to bill medicare on his behalf.

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: O20220824000871

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. Michael Mickelson 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
Michael Mickelson, LCSW 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 Ph: (307) 778-7550	Michael Mickelson, LCSW 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 Ph: (307) 778-7550

Reviews and Comments

Social Worker in Cheyenne, WY

Gregory Stelzner, MSW, LCSW-950 Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2909 Bent Ave, Cheyenne, WY 82001 Phone: 307-772-1142
Chelsea Hampton, MSW PCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 604 E 25th St, Cheyenne, WY 82001 Phone: 307-637-3953
Corinne Lea Hogg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-757-8583
Alyssa Nicole Bjorkquist, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 Capitol Ave Ste 109, Cheyenne, WY 82001 Phone: 307-256-6467
Mr. William David Anderson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 Fax: 307-778-7599
Richard A Esquibel, BSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 604 E 25th St, Cheyenne, WY 82001 Phone: 307-637-3953 Fax: 307-638-6805
Donna M Lucas, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 604 E 25th St, Cheyenne, WY 82001 Phone: 307-637-3953 Fax: 307-638-6805

Michael Mickelson, LCSW - Medicare Clinical Social Worker in Cheyenne, WY