Alisia Kaye Macioch, MS, LAT, ATC - Physical Medicine & Rehabilitation in Roseville, MN

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Alisia Kaye Macioch, MS, LAT, ATC is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Roseville, Minnesota. Alisia Kaye Macioch is licensed to practice in Minnesota (license number 3138) and her current practice location is 1240 County Road B2 W, Roseville, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 301-2279.

NPI number for Alisia Kaye Macioch is 1568998482 and her current mailing address is 320 6th Ave S, South Saint Paul, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568998482.

Contact Information

Alisia Kaye Macioch, MS, LAT, ATC
1240 County Road B2 W,
Roseville, MN 55113-4338
(651) 301-2279
Not Available

Map and Direction




Physician's Profile

Full NameAlisia Kaye Macioch
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location1240 County Road B2 W, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568998482
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 03/05/2026

Medical Identifiers

Medical identifiers for Alisia Kaye Macioch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568998482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 3138 (Minnesota)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Alisia Kaye Macioch 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 AddressPractice Location Address
Alisia Kaye Macioch, MS, LAT, ATC
320 6th Ave S,
South Saint Paul, MN 55075-2624

Ph: () -		Alisia Kaye Macioch, MS, LAT, ATC
1240 County Road B2 W,
Roseville, MN 55113-4338

Ph: (651) 301-2279

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Roseville, MN


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