Jared T Mickelson, DO in Worcester, MA - Medicare Pulmonary Disease

Jared T Mickelson, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Worcester, Massachusetts. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Umass Memorial Medical Group Inc and his current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 856-1975.

Jared T Mickelson is licensed to practice in Massachusetts (license number 270485) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952720625.

Contact Information

	Jared T Mickelson, DO
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 856-1975
	(774) 442-3999

Map and Direction

Physician's Profile

Full Name	Jared T Mickelson
Gender	Male
Speciality	Pulmonary Disease
Experience	10 Years
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jared T Mickelson graduated from medical school in 2014

NPI Data:

NPI Number: 1952720625
Provider Enumeration Date: 04/10/2014
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 6002167319
Enrollment ID: I20180926001649

Medical Identifiers

Medical identifiers for Jared T Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952720625	NPI	-	NPPES
110115745A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	270485 (Massachusetts)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	270485 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umass Memorial Medical Center/university Campus	Worcester, MA	Hospital
Umass Memorial Healthcare-marlborough Hospital	Marlborough, MA	Hospital
Healthalliance Hospitals, Inc	Leominster, MA	Hospital
Harrington Memorial Hospital-1	Southbridge, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Umass Memorial Medical Group Inc	4284539891	1898

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. Jared T Mickelson allows following entities to bill medicare on his behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269

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. Jared T 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
Jared T Mickelson, DO Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Jared T Mickelson, DO 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 856-1975

Reviews and Comments

Internal Medicine Doctors in Worcester, MA

Dr. Adepeju Gbadebo Champion, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-2731 Fax: 774-442-4672
Madaiah Lokeshwari, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6849
Sowmya Korapati, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3550 Fax: 774-442-6715
Irma Nadeem Hashmi, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Dr. Madhav Sharma, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5438
Daniel M Steigman, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608 Phone: 508-368-3120 Fax: 508-368-3121
Dr. Julia D Andrieni, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655 Phone: 508-334-2731

Jared T Mickelson, DO - Medicare Pulmonary Disease in Worcester, MA