| Domantas Mikonis, | |
|
2178 Post Rd Ste 205, Wells, ME 04090-4794 | |
| (207) 216-1342 | |
| (800) 851-4724 |
| Full Name | Domantas Mikonis |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 10 Years |
| Location | 2178 Post Rd Ste 205, Wells, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891149944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DO3094 (Maine) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 72934-21 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Stevens Point Hospital | Stevens point, WI | Hospital |
| Aspirus Rhinelander Hospital | Rhinelander, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Stevens Point Hospital And Clinics, Inc. | 1850358938 | 136 |
| Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. | 9335059856 | 566 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
| Entity Name | New Frontiers Psychiatric SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003390394 PECOS PAC ID: 7416201058 Enrollment ID: O20181116001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Domantas Mikonis, 2178 Post Rd Ste 205, Wells, ME 04090-4794 Ph: (207) 216-1342 | Domantas Mikonis, 2178 Post Rd Ste 205, Wells, ME 04090-4794 Ph: (207) 216-1342 |