Lorin Mickelsen Iv, DPM - Medicare Podiatrist in Newburgh, IN

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Lorin Mickelsen Iv, DPM is a medicare enrolled "Podiatrist" provider in Newburgh, Indiana. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Deaconess Clinic Inc, Deaconess Clinic Inc and his current practice location is 4233 Gateway Blvd, Newburgh, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 858-5786.

Lorin Mickelsen Iv is licensed to practice in Indiana (license number 07001281A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689058356.

Contact Information

Lorin Mickelsen Iv, DPM
4233 Gateway Blvd,
Newburgh, IN 47630
(812) 858-5786
(812) 490-4512

Map and Direction




Healthcare Provider's Profile

Full NameLorin Mickelsen Iv
GenderMale
SpecialityPodiatry
Experience9 Years
Location4233 Gateway Blvd, Newburgh, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lorin Mickelsen Iv graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1689058356
  • Provider Enumeration Date: 07/13/2015
  • Last Update Date: 11/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0244585958
  • Enrollment ID: I20180621000626

Medical Identifiers

Medical identifiers for Lorin Mickelsen Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689058356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 243967 (Kentucky)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 00433 (Kentucky)Secondary
213E00000XPodiatrist 07001281A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Deaconess Hospital IncEvansville, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deaconess Clinic Inc3375610116343
Deaconess Clinic Inc3375610116343

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. Lorin Mickelsen Iv allows following entities to bill medicare on his behalf.
Provider NameDeaconess Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619123585
PECOS PAC ID: 3375610116
Enrollment ID: O20080922000145

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. Lorin Mickelsen Iv 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 AddressPractice Location Address
Lorin Mickelsen Iv, DPM
Po Box 1510,
Evansville, IN 47706-1510

Ph: (812) 858-5786		Lorin Mickelsen Iv, DPM
4233 Gateway Blvd,
Newburgh, IN 47630

Ph: (812) 858-5786

Reviews and Comments


Podiatrist in Newburgh, IN

Darin Richard Serletic, DPM
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Phone: 812-858-3800    Fax: 812-634-2778
Tyler Tidwell, DPM
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Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630
Phone: 812-858-5786    Fax: 812-490-4512
Brandt L Dodson, DPM
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Practice Location: 4233 Gateway Blvd, Newburgh, IN 47630
Phone: 812-858-5786    Fax: 812-490-4512
Charles Anthony Sisovsky, D.P.M.
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Practice Location: 10455 Orthopaedic Dr, Newburgh, IN 47630
Phone: 812-424-9291    Fax: 812-421-2722

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.