Colette Rose Micko, REGISTERED DIETITIAN in San Jose, CA - Medicare Registered Dietitian Or Nutrition Professional Provider

Colette Rose Micko, REGISTERED DIETITIAN is a medicare enrolled "Dietitian, Registered" provider in San Jose, California. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is 1132 Carnforth Ct, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (805) 714-8723.

Colette Rose Micko is licensed to practice in California (license number 86032820) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1336513118.

Contact Information

	Colette Rose Micko, REGISTERED DIETITIAN
	1132 Carnforth Ct, San Jose, CA 95120-4212
	(805) 714-8723
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Colette Rose Micko
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	17 Years
Location	1132 Carnforth Ct, San Jose, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colette Rose Micko graduated from medical school in 2008

NPI Data:

NPI Number: 1336513118
Provider Enumeration Date: 11/17/2015
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 7113454281
Enrollment ID: I20250320003976

Medical Identifiers

Medical identifiers for Colette Rose Micko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336513118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86032820 (California)	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. Colette Rose Micko allows following entities to bill medicare on her behalf.

Provider Name	Fella Medical Group Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114671096 PECOS PAC ID: 0941642979 Enrollment ID: O20241224001168

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. Colette Rose Micko 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
Colette Rose Micko, REGISTERED DIETITIAN 1132 Carnforth Ct, San Jose, CA 95120-4212 Ph: (805) 714-8723	Colette Rose Micko, REGISTERED DIETITIAN 1132 Carnforth Ct, San Jose, CA 95120-4212 Ph: (805) 714-8723

Reviews and Comments

Dietitian, Registered in San Jose, CA

Harramanjoyt Hans-brar, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2425 Samaritan Dr, San Jose, CA 95124 Phone: 408-559-2501
Pinar Robles, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 919 S Winchester Blvd Unit 262, San Jose, CA 95128 Phone: 831-726-6244
Heidi Lidtke, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Parkmoor Ave Ste 230, San Jose, CA 95126 Phone: 408-961-9850
Guadalupe Celallos Sanchez, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1066 S White Rd, San Jose, CA 95127 Phone: 510-770-8141
Ms. Chih-chii Amy Shiau, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4563 Borina Dr, San Jose, CA 95129 Phone: 408-656-5906 Fax: 408-517-5785
Katherin Marie Guevara Ocampo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5531 Blossom Gardens Cir # 5531, San Jose, CA 95123 Phone: 510-375-7545
Sajida Abbas Arsiwala, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 499 Mccamish Ave, San Jose, CA 95123 Phone: 408-338-9501

Colette Rose Micko, REGISTERED DIETITIAN - Medicare Dietitian in San Jose, CA