| Dawn Mielke, MD | |
|
1 Clinic Rd, Grand Canyon, AZ 86023-0290 | |
| (928) 638-2551 | |
| (928) 638-2598 |
| Full Name | Dawn Mielke |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1 Clinic Rd, Grand Canyon, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487754222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 037752 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 48080 (Arizona) | Primary |
| Entity Name | Cigna Healthcare Of Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073626404 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515 |
| Entity Name | Honorhealth Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740273614 PECOS PAC ID: 0345130266 Enrollment ID: O20040316000867 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Mielke, MD Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Dawn Mielke, MD 1 Clinic Rd, Grand Canyon, AZ 86023-0290 Ph: (928) 638-2551 |
Dr. John Erik Tveten, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Clinic Rd, Grand Canyon, AZ 86023 Phone: 928-638-2551 Fax: 928-638-2598 |