Mikiel Ewida, is a medicare enrolled "Anesthesiologist Assistant" in Vincennes, Indiana. His current practice location is
520 S 7th St, Vincennes, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 882-5220.
Mikiel Ewida is licensed to practice in Indiana (license number 75000159A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417726779.
Provider's Profile
| Full Name | Mikiel Ewida |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 520 S 7th St, Vincennes, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417726779
- Provider Enumeration Date: 12/28/2023
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931542651
- Enrollment ID: I20240209002450
Medical Identifiers
Medical identifiers for Mikiel Ewida such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417726779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 75000159A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mikiel Ewida allows following entities to bill medicare on his behalf.
| Entity Name | Good Samaritan Hospital Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649432071
PECOS PAC ID: 3971671330
Enrollment ID: O20081013000182 |
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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. Mikiel Ewida is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mikiel Ewida,
415 Dalewood Dr,
Vincennes, IN 47591-3894
Ph: () - | Mikiel Ewida,
520 S 7th St,
Vincennes, IN 47591-1038
Ph: (812) 882-5220 |
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