Ross F Micciche, MD in Louisville, KY

Ross F Micciche, MD is a medicare enrolled "Urology" physician in Louisville, Kentucky. His current practice location is 501 E Broadway Ste 270, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 588-4740.

Ross F Micciche is licensed to practice in Kentucky (license number 58926) 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 1235663147.

Contact Information

	Ross F Micciche, MD
	501 E Broadway Ste 270, Louisville, KY 40202-2040
	(502) 588-4740
	Not Available

Map and Direction

Physician's Profile

Full Name	Ross F Micciche
Gender	Male
Speciality	Urology
Location	501 E Broadway Ste 270, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235663147
Provider Enumeration Date: 04/18/2017
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0446664643
Enrollment ID: I20240701001146

Medical Identifiers

Medical identifiers for Ross F Micciche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235663147	NPI	-	NPPES
300088159	Medicaid	IN
7100715760	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	58926 (Kentucky)	Primary
208800000X	Urology	01092561A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Ross F Micciche allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452

Entity Name	Norton - Kings Daughters Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611

Entity Name	First Urology Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922099811 PECOS PAC ID: 3779572888 Enrollment ID: O20040602000501

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. Ross F Micciche 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
Ross F Micciche, MD 500 S Preston St Rm 305, Louisville, KY 40202-1702 Ph: (502) 852-8696	Ross F Micciche, MD 501 E Broadway Ste 270, Louisville, KY 40202-2040 Ph: (502) 588-4740

Reviews and Comments

Urology Doctors in Louisville, KY

Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825
Angelena B. Edwards, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220
Rosa Park, M.D. Urology Medicare: Medicare Enrolled Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740

Ross F Micciche, MD - Medicare Urology in Louisville, KY