Molly Ann Mickle, FNP - Medicare Nurse Practitioner in New York, NY

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Molly Ann Mickle, FNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ellis Hospital and her current practice location is 165 Broadway Fl 23, New York, New York. You can reach out to her office (for appointments etc.) via phone at (888) 731-8994.

Molly Ann Mickle is licensed to practice in New York (license number 349963) 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 1962126417.

Contact Information

Molly Ann Mickle, FNP
165 Broadway Fl 23,
New York, NY 10006-1452
(888) 731-8994
Not Available

Map and Direction




Provider's Profile

Full NameMolly Ann Mickle
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location165 Broadway Fl 23, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Molly Ann Mickle graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1962126417
  • Provider Enumeration Date: 09/28/2022
  • Last Update Date: 02/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6002040839
  • Enrollment ID: I20230405000639

Medical Identifiers

Medical identifiers for Molly Ann Mickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962126417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 349963 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ellis HospitalSchenectady, NYHospital
St Mary's HealthcareAmsterdam, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ellis Hospital5890607410214

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. Molly Ann Mickle allows following entities to bill medicare on her behalf.
Entity NameEllis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406
Entity NameNew York Oncology Hematology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609863448
PECOS PAC ID: 3072406222
Enrollment ID: O20040203000652
Entity NameWomen's Cancer Care Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689713067
PECOS PAC ID: 9436259454
Enrollment ID: O20070705000213

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. Molly Ann Mickle 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 AddressPractice Location Address
Molly Ann Mickle, FNP
165 Broadway Fl 23,
New York, NY 10006-1452

Ph: (888) 731-8994		Molly Ann Mickle, FNP
165 Broadway Fl 23,
New York, NY 10006-1452

Ph: (888) 731-8994

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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