Shane Michael Mikolajewski, PA-C is a
Physician Assistant based in Davis Monthan Afb, Arizona. Shane Michael Mikolajewski is licensed to practice in * (Not Available) (license number ) and his current practice location is
4175 S Alamo Ave, Davis Monthan Afb, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 228-2703.
NPI number for Shane Michael Mikolajewski is 1962170399 and his current mailing address is 4175 S Alamo Ave, Davis Monthan Afb, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962170399.
Provider's Profile
| Full Name | Shane Michael Mikolajewski |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 4175 S Alamo Ave, Davis Monthan Afb, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962170399
- Provider Enumeration Date: 08/31/2021
- Last Update Date: 11/12/2024
Medical Identifiers
Medical identifiers for Shane Michael Mikolajewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962170399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Shane Michael Mikolajewski 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 |
|---|
Shane Michael Mikolajewski, PA-C
4175 S Alamo Ave,
Davis Monthan Afb, AZ 85707-4402
Ph: (520) 228-2703 | Shane Michael Mikolajewski, PA-C
4175 S Alamo Ave,
Davis Monthan Afb, AZ 85707-4402
Ph: (520) 228-2703 |
Reviews and Comments