Dr Jessica Mikulecky, PSYD is a
Psychologist - Clinical based in Palos Heights, Illinois. Dr Jessica Mikulecky is licensed to practice in Illinois (license number 071009204) and her current practice location is
11800 S 75th Ave, Third Floor, Palos Heights, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 671-8440.
NPI number for Dr Jessica Mikulecky is 1104247709 and her current mailing address is 11800 S 75th Ave, Third Floor, Palos Heights, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104247709.
Healthcare Provider's Profile
| Full Name | Dr Jessica Mikulecky |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 11800 S 75th Ave, Palos Heights, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104247709
- Provider Enumeration Date: 12/27/2013
- Last Update Date: 12/10/2015
Medical Identifiers
Medical identifiers for Dr Jessica Mikulecky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104247709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 178.009650 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071009204 (Illinois) | 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 Jessica Mikulecky 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 Jessica Mikulecky, PSYD
11800 S 75th Ave, Third Floor,
Palos Heights, IL 60463-1033
Ph: (708) 671-8440 | Dr Jessica Mikulecky, PSYD
11800 S 75th Ave, Third Floor,
Palos Heights, IL 60463-1033
Ph: (708) 671-8440 |
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