Joseph Dale Mickelson, MD in Spokane, WA - Medicare Family Practice

Joseph Dale Mickelson, MD is a medicare enrolled "Family Medicine" physician in Spokane, Washington. He went to West Virginia University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Health And Services Washington, Multicare Health System and his current practice location is 104 W 5th Ave, Suite 200w, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 624-2313.

Joseph Dale Mickelson is licensed to practice in Washington (license number MD60456946) 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 1578769816.

Contact Information

	Joseph Dale Mickelson, MD
	104 W 5th Ave, Suite 200w, Spokane, WA 99204-4880
	(509) 624-2313
	Not Available

Map and Direction

Physician's Profile

Full Name	Joseph Dale Mickelson
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	104 W 5th Ave, Spokane, Washington
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:

Joseph Dale Mickelson attended and graduated from West Virginia University School Of Medicine in 2007

NPI Data:

NPI Number: 1578769816
Provider Enumeration Date: 06/25/2007
Last Update Date: 12/30/2015

Medicare PECOS Information:

PECOS PAC ID: 8224284526
Enrollment ID: I20140811002731

Medical Identifiers

Medical identifiers for Joseph Dale Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578769816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01066154A (Indiana)	Secondary
207Q00000X	Family Medicine	MD60456946 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deaconess Medical Center	Spokane, WA	Hospital
Prov Sacred Hrt Med Ctr & Childs Hosp.	Spokane, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Washington	0345139929	694
Multicare Health System	7719899897	1689

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. Joseph Dale Mickelson allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Joseph Dale 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
Joseph Dale Mickelson, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 624-2313	Joseph Dale Mickelson, MD 104 W 5th Ave, Suite 200w, Spokane, WA 99204-4880 Ph: (509) 624-2313

Reviews and Comments

Family Medicine Doctors in Spokane, WA

Edward P. Brow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464
Dr. Arild Lein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Mission Ave, Spokane, WA 99201 Phone: 509-326-4343
Mark Ashley Hart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Holland Ave, Spokane, WA 99218 Phone: 509-466-3960 Fax: 509-466-9566
Kelly C. Grieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9911 N Nevada St, Spokane, WA 99218 Phone: 509-626-9420 Fax: 509-227-7070
Mr. Philip Roger Henry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207 Phone: 509-483-3155 Fax: 509-483-3270
Dr. Ryan Massoud, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070
Kattrina Michelle Rall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 Fax: 509-626-9920

Joseph Dale Mickelson, MD - Medicare Family Practice in Spokane, WA