Dr Phillip Lee Mickelsen, MD in Kearney, NE - Medicare Anesthesiology Assistant

Dr Phillip Lee Mickelsen, MD is a medicare enrolled "Anesthesiology" physician in Kearney, Nebraska. He went to University Of Colorado School Of Medicine, Denver and graduated in 2000 and has 24 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Emergenchealth Pllc and his current practice location is 6420 56th Ave, Kearney, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 224-2062.

Dr Phillip Lee Mickelsen is licensed to practice in Nebraska (license number 32312) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518960012.

Contact Information

	Dr Phillip Lee Mickelsen, MD
	6420 56th Ave, Kearney, NE 68845-0380
	(308) 224-2062
	(888) 974-5962

Map and Direction

Physician's Profile

Full Name	Dr Phillip Lee Mickelsen
Gender	Male
Speciality	Anesthesiology Assistant
Experience	24 Years
Location	6420 56th Ave, Kearney, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Phillip Lee Mickelsen attended and graduated from University Of Colorado School Of Medicine, Denver in 2000

NPI Data:

NPI Number: 1518960012
Provider Enumeration Date: 05/27/2005
Last Update Date: 01/30/2020

Medicare PECOS Information:

PECOS PAC ID: 2062495740
Enrollment ID: I20230519001036

Medical Identifiers

Medical identifiers for Dr Phillip Lee Mickelsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518960012	NPI	-	NPPES
967331	Other	NM	PRONET / AETNA
43227252	Medicaid	NM
859457	Medicaid	AZ
86929	Medicaid	NM
107063	Other	MN	MN MEDICAL LICENSE
NM009R60	Other	NM	BLUE CROSS BLUE SHEILD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	107063 (Minnesota)	Secondary
207L00000X	Anesthesiology	32312 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Spohn Hospital Corpus Christi	Corpus christi, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergenchealth Pllc	1355606641	585

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 Phillip Lee Mickelsen allows following entities to bill medicare on his behalf.

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

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 Phillip Lee Mickelsen 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 Phillip Lee Mickelsen, MD 6420 56th Ave, Kearney, NE 68845-0380 Ph: (308) 224-2062	Dr Phillip Lee Mickelsen, MD 6420 56th Ave, Kearney, NE 68845-0380 Ph: (308) 224-2062

Reviews and Comments

Anesthesiology Doctors in Kearney, NE

Adetinuwe Majekodunmi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-865-7990
Robert R Shaffer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 115 E 52nd St, Kearney, NE 68847 Phone: 308-234-2581 Fax: 308-236-7089
Merlin J Wehling, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 22nd Ave, Kearney, NE 68845 Phone: 308-455-3600
Dr. Jesse Pandorf, JESSE PANDORF M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-865-7100
Fernando A Yepes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3219 Central Ave, Suite 200, Kearney, NE 68847 Phone: 308-865-7990
Dr. Burt John Mckeag, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5205 2nd Ave, Kearney, NE 68847 Phone: 308-237-9696
Pamela Sue Mckeag, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5205 2nd Ave, Kearney, NE 68847 Phone: 308-237-9696

Dr Phillip Lee Mickelsen, MD - Medicare Anesthesiology Assistant in Kearney, NE