Dawn Mielke, MD is a medicare enrolled "Emergency Medicine" physician in Grand Canyon, Arizona. Her current practice location is
1 Clinic Rd, Grand Canyon, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 638-2551.
Dawn Mielke is licensed to practice in Arizona (license number 48080) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487754222.
Physician's Profile
| Full Name | Dawn Mielke |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 1 Clinic Rd, Grand Canyon, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487754222
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850780834
- Enrollment ID: I20211112000898
Medical Identifiers
Medical identifiers for Dawn Mielke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487754222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 037752 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 48080 (Arizona) | 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. Dawn Mielke allows following entities to bill medicare on her behalf.
| Entity Name | Honorhealth Urgent Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740273614 PECOS PAC ID: 0345130266 Enrollment ID: O20040316000867 |
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| Entity Name | District Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
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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. Dawn Mielke 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 |
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 |
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