| Susanna Ciccolari Micaldi, MD | |
|
1001 N. Minneapolis St, Wichita, KS 67214-3127 | |
| (316) 293-2647 | |
| (855) 476-0305 |
| Full Name | Susanna Ciccolari Micaldi |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 1001 N. Minneapolis St, Wichita, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790190791 | NPI | - | NPPES |
| 30004664320001 | Medicaid | KS |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Kansas School Of Medicine Wichita Medical Practice Assoc | 3577464841 | 56 |
| Entity Name | University Of Kansas School Of Medicine Wichita Medical Practice Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639143712 PECOS PAC ID: 3577464841 Enrollment ID: O20040119000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Ciccolari Micaldi, MD 1001 N Minneapolis St, Wichita, KS 67214-3127 Ph: (316) 293-2647 | Susanna Ciccolari Micaldi, MD 1001 N. Minneapolis St, Wichita, KS 67214-3127 Ph: (316) 293-2647 |
Javanthi Theegala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Austin Armstrong, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647 | |
Deborah Kathleen Rose, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 E Douglas Ave Ofc 233, Wichita, KS 67202 Phone: 316-670-3800 | |
Dr. Gilmar Costa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Dr. Pete Haynes, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Mariana Berwerth Pereira, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Mercedes J Perales, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9333 E 21st St N, Wichita, KS 67206 Phone: 316-634-4700 Fax: 316-634-4770 |