Morris L Mickelson, MD | |
1111 W Frank Ave, Suite 100, Lufkin, TX 75904-3303 | |
(936) 639-2244 | |
(936) 634-9334 |
Full Name | Morris L Mickelson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1111 W Frank Ave, Lufkin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922173616 | NPI | - | NPPES |
8U3654 | Other | TX | BCBS INDIVIDUAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M2514 (Texas) | Primary |
Entity Name | Memorial Multispecialty Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789337 PECOS PAC ID: 1052390333 Enrollment ID: O20040719001519 |
Entity Name | Baylor St Lukes Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
Mailing Address | Practice Location Address |
---|---|
Morris L Mickelson, MD 1111 W Frank Ave, Suite 100, Lufkin, TX 75904-3303 Ph: (936) 639-2244 | Morris L Mickelson, MD 1111 W Frank Ave, Suite 100, Lufkin, TX 75904-3303 Ph: (936) 639-2244 |
Ravinder R Bachireddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 Fax: 936-632-8832 | |
Sean Moran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W Frank Ave, Suite 100, Lufkin, TX 75904 Phone: 936-639-2244 | |
Dr. Thomas Lester Willis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 302 Heather St, Lufkin, TX 75904 Phone: 936-637-6522 | |
Kyle G Krohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Medical Center Blvd, Suite E, Lufkin, TX 75904 Phone: 936-632-8220 Fax: 936-632-8230 | |
Juan Antonio Hernandez, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 232 N John Redditt Dr Ste B, Lufkin, TX 75904 Phone: 936-634-7225 Fax: 936-639-4549 | |
Kevin L Hudson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 Fax: 936-632-8832 | |
Dr. Jacob Mannoor Thomas, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 818 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-6210 Fax: 936-639-2298 |