Alysa Rey Mickey, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. Her current practice location is
922 S Cowley St Ste 9, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 822-6777.
Alysa Rey Mickey is licensed to practice in Washington (license number LW61539180) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508333071.
Healthcare Provider's Profile
| Full Name | Alysa Rey Mickey |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 922 S Cowley St Ste 9, Spokane, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508333071
- Provider Enumeration Date: 11/01/2018
- Last Update Date: 03/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830621861
- Enrollment ID: I20241016000917
Medical Identifiers
Medical identifiers for Alysa Rey Mickey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508333071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | CG60797144 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61539180 (Washington) | 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. Alysa Rey Mickey allows following entities to bill medicare on her behalf.
| Entity Name | Foundations Family Support Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083103238
PECOS PAC ID: 0547669731
Enrollment ID: O20210519002809 |
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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. Alysa Rey Mickey 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 |
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Alysa Rey Mickey, LICSW
922 S Cowley St Ste 9,
Spokane, WA 99202-1263
Ph: (509) 822-6777 | Alysa Rey Mickey, LICSW
922 S Cowley St Ste 9,
Spokane, WA 99202-1263
Ph: (509) 822-6777 |
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