| Dr Mia Michelena, DO | |
|
1540 Lake Lansing Rd, Ste 102, Lansing, MI 48912-3756 | |
| (517) 913-3810 | |
| (517) 913-3811 |
| Full Name | Dr Mia Michelena |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 1540 Lake Lansing Rd, Lansing, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366485005 | NPI | - | NPPES |
| 7419836 | Other | MI | AETNA |
| 1022116 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| 1153311825 | Other | MI | BLUE CROSS BLUE SHIELD |
| 200000002785 | Other | MI | PHP |
| 200000002785 | Other | MI | PHP FAMILYCARE |
| M21440049 | Other | MI | MEDICARE ADVANTAGE |
| 1022116 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
| 1022116 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1153311825 | Other | MI | BLUE CARE NETWORK |
| 4849578 | Medicaid | MI | |
| P00338685 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101015690 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 036149453 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Hospice | Lombard, IL | Hospice |
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mia Michelena, DO 1775 Dempster St, Rm E592b, Park Ridge, IL 60068-1143 Ph: (517) 913-3810 | Dr Mia Michelena, DO 1540 Lake Lansing Rd, Ste 102, Lansing, MI 48912-3756 Ph: (517) 913-3810 |
Dr. Harry James Mccoy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Ste 201, Lansing, MI 48912 Phone: 517-913-3900 Fax: 517-913-3901 | |
Ali H. Sheikh, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 E Michigan Ave Ste 400, Lansing, MI 48912 Phone: 517-364-9650 Fax: 517-364-9605 | |
Georgette Nader, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-253-8366 | |
Salma Mohamed, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000 | |
Dr. Cynthia S. Boynton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Ste 201, Lansing, MI 48912 Phone: 517-913-3900 Fax: 517-913-3901 | |
Fadi Mohammadsaeed S Alreefi, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 E Michigan Ave Ste 400, Lansing, MI 48912 Phone: 419-921-2531 Fax: 517-364-9605 | |
Paul Goldshlack, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1433 E Michigan Ave, Lansing, MI 48912 Phone: 517-482-2020 Fax: 517-482-3664 |