Heather N Mikkelson, LCSW,CSAC is a medicare enrolled "Social Worker - Clinical" provider in Appleton, Wisconsin. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Partnership Community Health Center Inc and her current practice location is
5471 W Waterford Ln, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 731-7445.
Heather N Mikkelson is licensed to practice in Wisconsin (license number 9240-123) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1588190607.
Healthcare Provider's Profile
| Full Name | Heather N Mikkelson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 5471 W Waterford Ln, Appleton, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heather N Mikkelson graduated from medical school in 2016
NPI Data:
- NPI Number: 1588190607
- Provider Enumeration Date: 05/10/2017
- Last Update Date: 03/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 5597199844
- Enrollment ID: I20191219002807
Medical Identifiers
Medical identifiers for Heather N Mikkelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588190607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9240-123 (Wisconsin) | Primary |
| 101Y00000X | Counselor | (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Partnership Community Health Center Inc | 2062452600 | 9 |
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. Heather N Mikkelson allows following entities to bill medicare on her behalf.
| Entity Name | Lifesource Of North Carolina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871135723
PECOS PAC ID: 7416132428
Enrollment ID: O20210907000784 |
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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. Heather N Mikkelson 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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Heather N Mikkelson, LCSW,CSAC
5337 W Grande Market Dr,
Appleton, WI 54913-8442
Ph: (920) 731-7445 | Heather N Mikkelson, LCSW,CSAC
5471 W Waterford Ln,
Appleton, WI 54913-8510
Ph: (920) 731-7445 |
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