Susanna Ciccolari Micaldi, MD in Wichita, KS

Susanna Ciccolari Micaldi, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Wichita, Kansas. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice University Of Kansas School Of Medicine Wichita Medical Practice Assoc and her current practice location is 1001 N. Minneapolis St, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 293-2647.

Susanna Ciccolari Micaldi is licensed to practice in Kansas (license number 04-41077) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790190791.

Contact Information

	Susanna Ciccolari Micaldi, MD
	1001 N. Minneapolis St, Wichita, KS 67214-3127
	(316) 293-2647
	(855) 476-0305

Map and Direction

Physician's Profile

Full Name	Susanna Ciccolari Micaldi
Gender	Female
Speciality	Psychiatry
Experience	34 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.

Medical Education and Training:

Susanna Ciccolari Micaldi graduated from medical school in 1990

NPI Data:

NPI Number: 1790190791
Provider Enumeration Date: 06/27/2014
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6406072149
Enrollment ID: I20190913001833

Medical Identifiers

Medical identifiers for Susanna Ciccolari Micaldi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790190791	NPI	-	NPPES
30004664320001	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	94-08402 (Kansas)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	04-41077 (Kansas)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	94-08402 (Kansas)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	04-41077 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Kansas School Of Medicine Wichita Medical Practice Assoc	3577464841	52

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. Susanna Ciccolari Micaldi allows following entities to bill medicare on her behalf.

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

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. Susanna Ciccolari Micaldi 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
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

Reviews and Comments

Psychiatry & Neurology Doctors in Wichita, KS

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: May Accept Medicare Assignments Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647
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
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
Anthony Shaw, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2647
Burtram J Odenheimer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3311 E Murdock St, Wichita, KS 67208 Phone: 316-689-9137 Fax: 316-689-9659

Susanna Ciccolari Micaldi, MD - Medicare Psychiatry in Wichita, KS