Dr Paul A Mikkelson, MD | |
801 W Maple St, Farmington, NM 87401-5630 | |
(505) 325-5011 | |
(505) 324-2258 |
Full Name | Dr Paul A Mikkelson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 801 W Maple St, Farmington, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346297769 | NPI | - | NPPES |
10023500 | Other | LOVELACE | |
64731553 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD2005-0318 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
Entity Name | Healthfront, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417901612 PECOS PAC ID: 5698668424 Enrollment ID: O20040205000611 |
Entity Name | Timothy D Peterson, Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073818555 PECOS PAC ID: 5799805040 Enrollment ID: O20111207000472 |
Entity Name | Taos Professional Services,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
Entity Name | Los Alamos Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679965883 PECOS PAC ID: 1557680105 Enrollment ID: O20150501001381 |
Entity Name | App Of New Mexico Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891169942 PECOS PAC ID: 7416259445 Enrollment ID: O20160108000220 |
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1902338049 PECOS PAC ID: 8224937412 Enrollment ID: O20170424000809 |
Entity Name | Hospitalist Medicine Physicians Of New Mexico - Clovis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477031094 PECOS PAC ID: 0345618849 Enrollment ID: O20221114002666 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul A Mikkelson, MD Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 324-2258 | Dr Paul A Mikkelson, MD 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 325-5011 |
Brad J Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2001 Fax: 505-609-2259 | |
Christopher A Gutierrez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Angela Bell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Catherine A Ambrose, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Eric M Ketcham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Dr. Brian A. Rike, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2258 | |
Dr. Virginia Elizabeth Harvey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |