Connor Mickelson, in Seattle, WA - Medicare Physical Therapist Provider

Connor Mickelson, is a medicare enrolled "Physical Therapist" provider in Seattle, Washington. His current practice location is 3121 E Madison St Ste 201, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 324-5389.

Connor Mickelson is licensed to practice in Washington (license number 60956900) 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 1972159945.

Contact Information

	Connor Mickelson,
	3121 E Madison St Ste 201, Seattle, WA 98112-4259
	(206) 324-5389
	(206) 324-5391

Map and Direction

Healthcare Provider's Profile

Full Name	Connor Mickelson
Gender	Male
Speciality	Physical Therapist
Location	3121 E Madison St Ste 201, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972159945
Provider Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019

Medicare PECOS Information:

PECOS PAC ID: 2466885520
Enrollment ID: I20191203001474

Medical Identifiers

Medical identifiers for Connor Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972159945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	60956900 (Washington)	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. Connor Mickelson allows following entities to bill medicare on his behalf.

Provider Name	Valley Medical Group-renton
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113

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. Connor Mickelson 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
Connor Mickelson, 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (503) 443-6156	Connor Mickelson, 3121 E Madison St Ste 201, Seattle, WA 98112-4259 Ph: (206) 324-5389

Reviews and Comments

Physical Therapist in Seattle, WA

Mrs. Carol Grant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5311 Phinney Ave North, Norse Home, Seattle, WA 98103 Phone: 206-781-7436 Fax: 206-781-7414
Julia J Visser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359920, Seattle, WA 98104 Phone: 206-744-1675 Fax: 206-744-1664
Amelia V. Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-774-3300
Lori L. Kirsten, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 12th Ave S, Seattle, WA 98144 Phone: 206-326-2400
Nicole Siegel Bulow, PT, DPT, CFMT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4839 S Brandon St, Seattle, WA 98118 Phone: 415-264-0191
Benjamin Tappen Kern, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 Ne 45th St Ste 100, Seattle, WA 98105 Phone: 206-545-7844 Fax: 206-545-7843
Sean Michael Strosnider, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2611 Ne 125th St Ste 140, Seattle, WA 98125 Phone: 206-361-4745

Connor Mickelson, - Medicare Physical Therapist in Seattle, WA