John G Mickelson, DO - Medicare Preventive Medicine in Fargo, ND

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John G Mickelson, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Fargo, North Dakota. His current practice location is 3838 12th Ave N, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 234-4700.

John G Mickelson is licensed to practice in North Dakota (license number 6205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497773097.

Contact Information

John G Mickelson, DO
3838 12th Ave N,
Fargo, ND 58102-2931
(701) 234-4700
(701) 234-4757

Map and Direction




Physician's Profile

Full NameJohn G Mickelson
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location3838 12th Ave N, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497773097
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 11/30/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9133176746
  • Enrollment ID: I20050406000267

Medical Identifiers

Medical identifiers for John G Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497773097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34645 (Minnesota)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 6205 (North Dakota)Primary

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. John G Mickelson allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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. John G 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 AddressPractice Location Address
John G Mickelson, DO
3838 12th Ave N,
Fargo, ND 58102-2931

Ph: (701) 234-4700		John G Mickelson, DO
3838 12th Ave N,
Fargo, ND 58102-2931

Ph: (701) 234-4700

Reviews and Comments


Preventive Medicine Doctors in Fargo, ND

Olayinka David Ajayi, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    
John Gregory Beauclair, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3838 12th Ave N, Fargo, ND 58102
Phone: 701-234-4700    Fax: 701-234-4757
Biswaraj Tharu, MBBS
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3838 12th Ave N, Fargo, ND 58102
Phone: 701-234-4700    
Suzanne Ouradnik, RN
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1240 25th St S, Fargo, ND 58103
Phone: 701-241-8187    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.