Daniel G Mickelson, MD in Fargo, ND

Daniel G Mickelson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fargo, North Dakota. His current practice location is 737 Broadway, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-2000.

Daniel G Mickelson is licensed to practice in North Dakota (license number 5819) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215954854.

Contact Information

	Daniel G Mickelson, MD
	737 Broadway, Fargo, ND 58122-0001
	(701) 234-2000
	(701) 234-7332

Map and Direction

Physician's Profile

Full Name	Daniel G Mickelson
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	737 Broadway, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215954854
Provider Enumeration Date: 07/17/2006
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4587566831
Enrollment ID: I20040126000725

Medical Identifiers

Medical identifiers for Daniel G Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215954854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	5819 (North Dakota)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	5819 (North Dakota)	Primary

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. Daniel G Mickelson allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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. Daniel G Mickelson 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
Daniel G Mickelson, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Daniel G Mickelson, MD 737 Broadway, Fargo, ND 58122-0001 Ph: (701) 234-2000

Reviews and Comments

Radiology Doctors in Fargo, ND

Dr. Adam John Defoe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Stephen P Garrity, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-7481
Corey L Teigen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6236 Fax: 701-234-7332
James Woods, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700
Dale R Shook, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-271-1423
Dr. John Christopher Asleson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5015
Dennis E Bier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-5718

Daniel G Mickelson, MD - Medicare Radiology in Fargo, ND