Jerry Forrest Mikesell, MD | |
1393 N Atherton St, State College, PA 16803-2932 | |
(814) 238-6097 | |
(814) 238-5527 |
Full Name | Jerry Forrest Mikesell |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1393 N Atherton St, State College, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730274432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD033134E (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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Jerry Forrest Mikesell, MD 1393 N Atherton St, State College, PA 16803-2932 Ph: (814) 238-6097 | Jerry Forrest Mikesell, MD 1393 N Atherton St, State College, PA 16803-2932 Ph: (814) 238-6097 |
Timothy David Mckinley, Dermatology Medicare: Medicare Enrolled Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Cassandra Joy Simonetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 32 Colonnade Way, State College, PA 16803 Phone: 814-272-4445 Fax: 814-272-4450 | |
Dr. Loretta A Pratt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 312, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383 | |
Mary Amanda Jacobs, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr., State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Mark Edward Kozminsky, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2505 Green Tech Dr, Suite A1, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383 | |
Dr. Matthew Allyn Hazey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Scenery Dr Uppr Level, State College, PA 16801 Phone: 814-237-6600 Fax: 814-237-5383 |