Erik R Mikkelsen, CRNA | |
4150 V St, Pssb Suite 1200 Dept Of Anesthesiology And Pain Med, Sacramento, CA 95817-1460 | |
(916) 734-5028 | |
(916) 734-2975 |
Full Name | Erik R Mikkelsen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 4150 V St, Sacramento, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134355209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000103 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest Memorial Hospital | Cortez, CO | Hospital |
Divine Savior Healthcare | Portage, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novus Colorado Professional Corporation | 0840694774 | 7 |
Divine Savior Healthcare Inc | 5799684007 | 76 |
Entity Name | Novus Colorado Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437723640 PECOS PAC ID: 0840694774 Enrollment ID: O20210813002050 |
Mailing Address | Practice Location Address |
---|---|
Erik R Mikkelsen, CRNA 4150 V St, Pssb Suite 1200 Dept Of Anesthesiology And Pain Med, Sacramento, CA 95817-1460 Ph: (916) 734-5028 | Erik R Mikkelsen, CRNA 4150 V St, Pssb Suite 1200 Dept Of Anesthesiology And Pain Med, Sacramento, CA 95817-1460 Ph: (916) 734-5028 |
Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254 | |
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975 | |
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975 | |
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696 | |
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975 | |
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696 | |
Ms. Tricia D. Ouchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd., Sacramento, CA 95817 Phone: 916-734-5032 |