| Dr Michael Mikola, MD | |
|
180 Wingo Way, Stse 306, Mt Pleasant, SC 29464-1810 | |
| (843) 884-1777 | |
| (843) 884-0710 |
| Full Name | Dr Michael Mikola |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 180 Wingo Way, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013969393 | NPI | - | NPPES |
| 161443 | Medicaid | SC | |
| 571020809012 | Other | SC | BCBS |
| P00102686 | Other | SC | RR MEDICARE |
| P00834833 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| 571020809058 | Other | SC | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SC16144 (South Carolina) | Primary |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Entity Name | Athena Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679316889 PECOS PAC ID: 0345786513 Enrollment ID: O20240724000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Mikola, MD Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Dr Michael Mikola, MD 180 Wingo Way, Stse 306, Mt Pleasant, SC 29464-1810 Ph: (843) 884-1777 |
Jonathan Edward Parrack, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464 Phone: 843-884-5200 | |
John W Mcdonald, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1208 Two Island Ct, Mt Pleasant, SC 29466 Phone: 843-884-6653 | |
Dr. Bryan H Frain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464 Phone: 843-534-1770 Fax: 877-453-3943 | |
Dr. Robert Scott Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 498 Wando Park Blvd Ste 500, Mt Pleasant, SC 29464 Phone: 843-216-8139 Fax: 866-834-5680 | |
Dr. David Michael Ingraham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464 Phone: 843-884-5200 Fax: 843-884-6417 | |
Marjorie Caroline Spitznagel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Wingo Way Ste 207, Mt Pleasant, SC 29464 Phone: 843-884-5101 Fax: 843-606-7997 |