Dr Clinzo P Mickle Ii, MD - Medicare Dermatology in Washington, DC

Dr Clinzo P Mickle Ii, MD is a medicare enrolled "Dermatology" physician in Washington, District Of Columbia. He went to Medical University Of South Carolina College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Integrated Dermatology Of 19th Street Llc and his current practice location is 650 Pennsylvania Ave Se, Suite 420, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 547-9001.

Dr Clinzo P Mickle Ii is licensed to practice in District Of Columbia (license number MD036757) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104096361.

Contact Information

Dr Clinzo P Mickle Ii, MD
650 Pennsylvania Ave Se, Suite 420,
Washington, DC 20003-4318
(202) 547-9001
Not Available

Map and Direction




Physician's Profile

Full NameDr Clinzo P Mickle Ii
GenderMale
SpecialityDermatology
Experience22 Years
Location650 Pennsylvania Ave Se, Washington, District Of Columbia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Clinzo P Mickle Ii attended and graduated from Medical University Of South Carolina College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1104096361
  • Provider Enumeration Date: 03/04/2008
  • Last Update Date: 04/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6406027564
  • Enrollment ID: I20121018000352

Medical Identifiers

Medical identifiers for Dr Clinzo P Mickle Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104096361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD036757 (District Of Columbia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Dermatology Of 19th Street Llc25676265677

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. Dr Clinzo P Mickle Ii allows following entities to bill medicare on his behalf.
Entity NameIntegrated Dermatology Of 19th Street Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801166467
PECOS PAC ID: 2567626567
Enrollment ID: O20120601000481

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 Clinzo P Mickle Ii 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 AddressPractice Location Address
Dr Clinzo P Mickle Ii, MD
2400 16th St Nw, Apt. 243,
Washington, DC 20009-6646

Ph: (202) 332-2802
Dr Clinzo P Mickle Ii, MD
650 Pennsylvania Ave Se, Suite 420,
Washington, DC 20003-4318

Ph: (202) 547-9001

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.