Dr Luke Gildo Mirabelli, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kansas City, Kansas. His current practice location is
3901 Rainbow Blvd # Ms 1060, Kansas City, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 588-5276.
Dr Luke Gildo Mirabelli is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710447255.
Physician's Profile
Full Name | Dr Luke Gildo Mirabelli |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3901 Rainbow Blvd # Ms 1060, Kansas City, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710447255
- Provider Enumeration Date: 03/21/2019
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244565943
- Enrollment ID: I20190717003576
Medical Identifiers
Medical identifiers for Dr Luke Gildo Mirabelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710447255 | NPI | - | NPPES |
94-09805 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
2023025341 | Other | MO | MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 2023025341 (Missouri) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 94-09805 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Luke Gildo Mirabelli 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 |
Dr Luke Gildo Mirabelli, MD 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 Ph: (913) 588-5000 | Dr Luke Gildo Mirabelli, MD 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 Ph: (913) 588-5276 |
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