Dr James David Mikolajczak, DO is a medicare enrolled "Family Medicine - Adult Medicine" physician in Vandenberg Afb, California. His current practice location is
338 S Dakota Ave, Vandenberg Afb, California. You can reach out to his office (for appointments etc.) via phone at
(058) 605-3573.
Dr James David Mikolajczak is licensed to practice in West Virginia (license number 2793) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013279587.
Physician's Profile
Full Name | Dr James David Mikolajczak |
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Gender | Male |
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Speciality | Family Medicine - Adult Medicine |
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Location | 338 S Dakota Ave, Vandenberg Afb, California |
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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: 1013279587
- Provider Enumeration Date: 06/11/2012
- Last Update Date: 05/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426208760
- Enrollment ID: I20121023000664
Medical Identifiers
Medical identifiers for Dr James David Mikolajczak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013279587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 2793 (West Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | 2793 (West Virginia) | Primary |
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. Dr James David Mikolajczak 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 |
Dr James David Mikolajczak, DO 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-5523 | Dr James David Mikolajczak, DO 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (058) 605-3573 |
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