Dr Peter M Mikkelsen, MD in Pullman, WA - Medicare Emergency Medicine

Dr Peter M Mikkelsen, MD is a medicare enrolled "Emergency Medicine" physician in Pullman, Washington. His current practice location is 835 Se Bishop Blvd, Pullman, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 336-7388.

Dr Peter M Mikkelsen is licensed to practice in Washington (license number MD00042890) 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 1790745792.

Contact Information

	Dr Peter M Mikkelsen, MD
	835 Se Bishop Blvd, Pullman, WA 99163-5512
	(509) 336-7388
	(509) 336-7389

Map and Direction

Physician's Profile

Full Name	Dr Peter M Mikkelsen
Gender	Male
Speciality	Emergency Medicine
Location	835 Se Bishop Blvd, Pullman, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790745792
Provider Enumeration Date: 03/24/2006
Last Update Date: 07/14/2025

Medicare PECOS Information:

PECOS PAC ID: 0840197299
Enrollment ID: I20031215000755

Medical Identifiers

Medical identifiers for Dr Peter M Mikkelsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790745792	NPI	-	NPPES
1790745792	Medicaid	WA
1019013	Medicaid	WA
500601704	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD00042890 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Peter M Mikkelsen allows following entities to bill medicare on his behalf.

Entity Name	Public Hospital District #1-a Of Whitman County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506

Entity Name	Public Hospital District #1-a Of Whitman County
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859

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 Peter M Mikkelsen 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 Peter M Mikkelsen, MD 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 336-7388	Dr Peter M Mikkelsen, MD 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 336-7388

Reviews and Comments

Emergency Medicine Doctors in Pullman, WA

Dr. Gerardo R Rodriquez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389
Dr. Larry E Brown, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389
Dr. Stephen C Bergmann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7388 Fax: 509-336-7389
Dr. Clifford Louis Lightfoot Iii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7386
Dr. Gregory Wallis, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-332-2541

Dr Peter M Mikkelsen, MD - Medicare Emergency Medicine in Pullman, WA