Mark A Mikula, MD | |
1105 6th St, Traverse City, MI 49684-2349 | |
(231) 947-0673 | |
(801) 740-2847 |
Full Name | Mark A Mikula |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 1105 6th St, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619973153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 4301068135 (Michigan) | Primary |
Entity Name | Northwestern Michigan Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073597944 PECOS PAC ID: 7214933928 Enrollment ID: O20061019000359 |
Entity Name | Interlochen Emergency Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336821495 PECOS PAC ID: 3577918606 Enrollment ID: O20231010002820 |
Mailing Address | Practice Location Address |
---|---|
Mark A Mikula, MD 4624 N Spider Lake Rd, Traverse City, MI 49696-8440 Ph: (231) 947-0673 | Mark A Mikula, MD 1105 6th St, Traverse City, MI 49684-2349 Ph: (231) 947-0673 |
Bevin Clayton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dale C Blum, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dr. Brandi Jenks Gunn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Richard G Faller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
David Darwin Nicolaou, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Traverse City, MI 49686 Phone: 231-935-8710 | |
David Shapiro, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-395-6333 Fax: 801-740-2847 | |
Juhn Mark Han, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 |