Dr Luke Thomas Mike, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fargo, North Dakota. His current practice location is
1919 Elm St N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 293-4113.
Dr Luke Thomas Mike is licensed to practice in * (Not Available) (license number ) 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 1437726304.
Physician's Profile
Full Name | Dr Luke Thomas Mike |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1919 Elm St N, Fargo, North Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437726304
- Provider Enumeration Date: 06/08/2021
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305294190
- Enrollment ID: I20231205001800
Medical Identifiers
Medical identifiers for Dr Luke Thomas Mike such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437726304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | RL17462 (North Dakota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Luke Thomas Mike allows following entities to bill medicare on his behalf.
Entity Name | Sanford Bismarck |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
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Entity Name | Psj Acquisition Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
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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. Dr Luke Thomas Mike 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 |
Dr Luke Thomas Mike, DO 1919 Elm St N, Fargo, ND 58102-2416 Ph: (701) 293-4113 | Dr Luke Thomas Mike, DO 1919 Elm St N, Fargo, ND 58102-2416 Ph: (701) 293-4113 |
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