Carl Terence Mickman, MD
Carl Terence Mickman, MD practises Emergency Medicine in New York, New York. Graduated from Louisiana State University School of Medicine in New Orleans in 2014, 12 years ago. Practices with Professional Emergency Medicine Management -- Lake Charles LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and New York.
- Years since qualifying
- 12
- Trained at
- Louisiana State University School of Medicine in New Orleans
- Licensed in
- LA, NY
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1 Gustave L Levy Pl Box 1149New York, NY 10029-6504
Phone: (612) 618-7945
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1500 N James St, Rome, NY 13440-2844 — (315) 338-7035
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 294040 (NY) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 326621 (LA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NY) |
Record details
| NPI number | 1124445242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 26, 2014 |
| Last updated in NPPES | June 24, 2022 |
| Certification date | June 24, 2022 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduated | 2014 (12 years in practice) |
| Group practice | Professional Emergency Medicine Management -- Lake Charles Llc — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 46 |
| Average patient age | 68 |
Practises at
- Lallie Kemp Medical Center Hospital · Independence, LA
- University Medical Center New Orleans Hospital · New Orleans, LA · listed as Louisiana State University
Colleagues at Professional Emergency Medicine Management -- Lake Charles LLC
- Brandon Shea Blanchard, FNP Family Nurse Practitioner · Lake Charles, LA
- Dr. Jason P Hagen, MD Family Medicine Physician · Lake Charles, LA
- Mrs. Tracee Lynn Hebert, APRN, CFNP Family Nurse Practitioner · Ragley, LA
- Mr. Dennis W. Kleinpeter, APRN, ANP Adult Health Nurse Practitioner · Lake Charles, LA
- Mr. Thad Elter Leboeuf, APRN, FNP-C Family Nurse Practitioner · Lake Charles, LA
- Lexie Miller Family Nurse Practitioner · Lake Charles, LA
- Dr. Randy Michael Sorge, MD Student in an Organized Health Care Education/Training Program · New Orleans, LA
- Dr. Christopher Thurmond, MD Student in an Organized Health Care Education/Training Program · Tripler Army Medical Center, HI
- Brian Alan Warden Emergency Medicine Physician · Kansas City, KS
- Dr. Stanford Kerry White, MD Emergency Medicine Physician · New Orleans, LA
Other providers in New York
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David Alan Merino, MD
525 E 68th St M-107, New York, NY 10065-4870 · (212) 342-1003
-
Metro Emergency Medical Association PLLC
153 W 11th St, New York, NY 10011-8305 · (469) 401-2386
-
Dr. Chad M Meyers, MD
462 1st Ave Obv A350, New York, NY 10016-9196 · (212) 562-6561
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Dr. Laura Kahn Michaeli, MD
622 W 168th St Ph 1-137 Ny Presbyterian Hospital Emergency Services, New York, NY 10032-3720 · (212) 305-2995
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Mark Mikhly, MD
280 1st Ave Ste 2S34, New York, NY 10009-1834 · (212) 844-1823
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Dr. Raffaele Milizia, MD
525 E 68th St, New York, NY 10065-4870 · (212) 746-5600
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Ramon Millan, MD
1111 Amsterdam Ave, New York, NY 10025-1716 · (212) 523-4000
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Leslie Jennifer Miller, MD
106 Liberty St Bsmt Ste, New York, NY 10006 · (646) 461-2544