Charles Mikow, PAC is a
Physician Assistant based in Chetek, Wisconsin. Charles Mikow is licensed to practice in Wisconsin (license number 411) and his current practice location is
220 Douglas St, Chetek, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 924-4811.
NPI number for Charles Mikow is 1679672091 and his current mailing address is Po Box 1510, Eau Claire, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679672091.
Provider's Profile
| Full Name | Charles Mikow |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 220 Douglas St, Chetek, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679672091
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 08/19/2013
Medical Identifiers
Medical identifiers for Charles Mikow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679672091 | NPI | - | NPPES |
| 1679672091 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 411 (Wisconsin) | Primary |
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. Charles Mikow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Mikow, PAC
Po Box 1510,
Eau Claire, WI 54702-1510
Ph: (715) 838-5222 | Charles Mikow, PAC
220 Douglas St,
Chetek, WI 54728-8953
Ph: (715) 924-4811 |
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