Dr Richard Wayne Mickelsen, MD in Provo, UT

Dr Richard Wayne Mickelsen, MD is a Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Provo, Utah. Dr Richard Wayne Mickelsen is licensed to practice in Utah (license number 5336032-1205) and his current practice location is 1300 E Center St, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 344-4215.

NPI number for Dr Richard Wayne Mickelsen is 1740250372 and his current mailing address is 1300 E Center St, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740250372.

Contact Information

	Dr Richard Wayne Mickelsen, MD
	1300 E Center St, Provo, UT 84606-3554
	(801) 344-4215
	(801) 344-4225

Map and Direction

Physician's Profile

Full Name	Dr Richard Wayne Mickelsen
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	1300 E Center St, Provo, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1740250372
Provider Enumeration Date: 01/25/2006
Last Update Date: 08/03/2023

Medical Identifiers

Medical identifiers for Dr Richard Wayne Mickelsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740250372	NPI	-	NPPES
U002	Other	UT	DESERET MUTUAL
U003	Other	UT	EDUCATORS MUTUAL
U001	Other	UT	BLUE CROSS
U006	Other	UT	INTERMOUTAIN HEALTH CARE
U009	Other	UT	CHAMPUS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	5336032-1205 (Utah)	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 Richard Wayne Mickelsen 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 Richard Wayne Mickelsen, MD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4400	Dr Richard Wayne Mickelsen, MD 1300 E Center St, Provo, UT 84606-3554 Ph: (801) 344-4215

Reviews and Comments

Psychiatry & Neurology Doctors in Provo, UT

Edward Leslie Kelly, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4225
Brent L Griffin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Aaron William Sanders, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 601, Provo, UT 84604 Phone: 801-357-7525
Sam J Coates, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-4542
Dr. Rodney A Cheal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Ms. Madhumathy Gundlapalli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Marianela Rosales Gerpe, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 Fax: 801-344-4215

Dr Richard Wayne Mickelsen, MD - Psychiatry & Neurology in Provo, UT