Dr Richard Wayne Mickelsen, MD - Psychiatry & Neurology 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 NameDr Richard Wayne Mickelsen
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location1300 E Center St, Provo, Utah
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1740250372NPI-NPPES
U002OtherUTDESERET MUTUAL
U003OtherUTEDUCATORS MUTUAL
U001OtherUTBLUE CROSS
U006OtherUTINTERMOUTAIN HEALTH CARE
U009OtherUTCHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & 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 AddressPractice 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, M.D.
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    
Dr. Stephen Peters, PSYD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1157 N 300 W, Provo, UT 84604
Phone: 801-357-1200    

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