| Dr Marvin J Mikeska, MD | |
|
374 Medical Group Yokota Ab, Apo, AP 96328 | |
| (315) 225-5034 | |
| Not Available |
| Full Name | Dr Marvin J Mikeska |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 374 Medical Group Yokota Ab, Apo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093782740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036112256 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 0101240840 (Virginia) | Primary |
| Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407232804 PECOS PAC ID: 3274842331 Enrollment ID: O20151013000437 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvin J Mikeska, MD 374 Medical Group, Apo, AP 96328 Ph: () - | Dr Marvin J Mikeska, MD 374 Medical Group Yokota Ab, Apo, AP 96328 Ph: (315) 225-5034 |
Dr. Joseph Rae Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Unit 15245, Apo, AP 96271 Phone: 315-737-1341 | |
Sydney Fitzgerald Hemphill, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3d Medical Battalion, Unit 38445, Apo, AP 96373 Phone: 198-646-7198 | |
Dr. Andrea Lan Tsai, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 603 Ocean Road, Apo, AP 96555 Phone: 808-580-2224 Fax: 808-580-2018 |