Dr Peter M Mikkelsen, MD | |
835 Se Bishop Blvd, Pullman, WA 99163-5512 | |
(509) 336-7388 | |
(509) 336-7389 |
Full Name | Dr Peter M Mikkelsen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 835 Se Bishop Blvd, Pullman, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790745792 | NPI | - | NPPES |
500601704 | Medicaid | OR | |
1790745792 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00042890 (Washington) | Primary |
Entity Name | Public Hospital District #1-a Of Whitman County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter M Mikkelsen, MD 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 336-7388 | Dr Peter M Mikkelsen, MD 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 336-7388 |
Dr. Gerardo R Rodriquez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 | |
Dr. Larry E Brown, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 | |
Dr. Stephen C Bergmann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389 | |
Dr. Clifford Louis Lightfoot Iii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7386 | |
Dr. Gregory Wallis, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7300 |