| Michael Mikita, | |
|
2 Farm Colony Dr, Warren, PA 16365-5203 | |
| (716) 484-6700 | |
| (716) 664-7275 |
| Full Name | Michael Mikita |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2 Farm Colony Dr, Warren, Pennsylvania |
| 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 |
|---|---|---|---|
| 1902454804 | NPI | - | NPPES |
| 103775178 | Medicaid | PA | |
| 06005494 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 023972 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Warren General Hospital | Warren, PA | Hospital |
| Olean General Hospital | Olean, NY | Hospital |
| Lecom Health Corry Memorial Hospital | Corry, PA | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Physician Pc | 9133434269 | 61 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mikita, 2 Farm Colony Dr, Warren, PA 16365-5203 Ph: (716) 484-6700 | Michael Mikita, 2 Farm Colony Dr, Warren, PA 16365-5203 Ph: (716) 484-6700 |
Alexis Rose Vavala, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1885 Market St, Warren, PA 16365 Phone: 814-723-1832 | |
Sarah Al-asady, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-3300 | |
Kerry Elaine Bussoletti, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-2510 Fax: 814-723-4654 | |
Mrs. Kristi Rae Simpson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-2686 Fax: 814-723-0423 | |
Marlea Heeter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 Pleasant Dr, Warren, PA 16365 Phone: 814-723-8023 Fax: 814-723-8025 | |
Nicholaus Pierce Carranza, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-4973 | |
Ms. Lindsey E Nell, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 143 Pleasant Dr, Warren, PA 16365 Phone: 814-726-3310 Fax: 814-726-0295 |