Dr Phillip Lee Mickelsen, MD | |
6420 56th Ave, Kearney, NE 68845-0380 | |
(308) 224-2062 | |
(888) 974-5962 |
Full Name | Dr Phillip Lee Mickelsen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 6420 56th Ave, Kearney, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518960012 | NPI | - | NPPES |
967331 | Other | NM | PRONET / AETNA |
43227252 | Medicaid | NM | |
859457 | Medicaid | AZ | |
86929 | Medicaid | NM | |
107063 | Other | MN | MN MEDICAL LICENSE |
NM009R60 | Other | NM | BLUE CROSS BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 107063 (Minnesota) | Secondary |
207L00000X | Anesthesiology | 32312 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergenchealth Pllc | 1355606641 | 540 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Lee Mickelsen, MD 6420 56th Ave, Kearney, NE 68845-0380 Ph: (308) 224-2062 | Dr Phillip Lee Mickelsen, MD 6420 56th Ave, Kearney, NE 68845-0380 Ph: (308) 224-2062 |
Adetinuwe Majekodunmi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-865-7990 | |
Robert R Shaffer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-234-2581 Fax: 308-236-7089 | |
Merlin J Wehling, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 22nd Ave, Kearney, NE 68845 Phone: 308-455-3600 | |
Dr. Jesse Pandorf, JESSE PANDORF M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-865-7100 | |
Fernando A Yepes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3219 Central Ave, Suite 200, Kearney, NE 68847 Phone: 308-865-7990 | |
Dr. Burt John Mckeag, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5205 2nd Ave, Kearney, NE 68847 Phone: 308-237-9696 | |
Pamela Sue Mckeag, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5205 2nd Ave, Kearney, NE 68847 Phone: 308-237-9696 |