London Judith Miccichi, PA-C in Mount Pleasant, SC

London Judith Miccichi, PA-C is a medicare enrolled "Physician Assistant" in Mount Pleasant, South Carolina. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Roper Saint Francis Physicians Network and her current practice location is 180 Wingo Way Ste 207, Mount Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 884-5101.

London Judith Miccichi is licensed to practice in South Carolina (license number 4588) 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 1861115313.

Contact Information

	London Judith Miccichi, PA-C
	180 Wingo Way Ste 207, Mount Pleasant, SC 29464-1811
	(843) 884-5101
	(843) 606-7997

Map and Direction

Provider's Profile

Full Name	London Judith Miccichi
Gender	Female
Speciality	Physician Assistant
Experience	4 Years
Location	180 Wingo Way Ste 207, Mount Pleasant, South Carolina
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:

London Judith Miccichi graduated from nursing school in 2022

NPI Data:

NPI Number: 1861115313
Provider Enumeration Date: 09/20/2022
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 3870960586
Enrollment ID: I20221109003322

Medical Identifiers

Medical identifiers for London Judith Miccichi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861115313	NPI	-	NPPES
5930PA	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4588 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mount Pleasant Hospital	Mount pleasant, SC	Hospital
Roper Hospital	Charleston, SC	Hospital
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Roper St Francis Hospital-berkely Inc	Moncks corner, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roper Saint Francis Physicians Network	5193874824	535

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. London Judith Miccichi 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
London Judith Miccichi, PA-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043	London Judith Miccichi, PA-C 180 Wingo Way Ste 207, Mount Pleasant, SC 29464-1811 Ph: (843) 884-5101

Reviews and Comments

Physician Assistant Nurses in Mount Pleasant, SC

Ashley Curtis Sundberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 Phone: 843-388-9000 Fax: 843-388-6937
Ashley May Roe, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 594 Lone Tree Dr Bldg 6, Mount Pleasant, SC 29464 Phone: 843-958-2500 Fax: 843-958-2680
Larisa Baldwin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1841 Old Georgetown Road, Mount Pleasant, SC 29464 Phone: 843-216-4844
Anna Mccrosson, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2749 Fountainhead Way, Mount Pleasant, SC 29466 Phone: 843-670-4756
Sydney Elizabeth Winn, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2755 Christ Church Ct, Mount Pleasant, SC 29466 Phone: 843-276-9331
Mrs. Lynden Maureen Pelbath, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 Phone: 843-388-9000 Fax: 843-388-6937
Mrs. Anastasia Alice Goodwin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1240 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-849-8418

London Judith Miccichi, PA-C - Medicare Physician Assistant in Mount Pleasant, SC