| Dr Timothy Alan Mikesell, MD | |
|
701 N 1st St, Springfield, IL 62702-3757 | |
| (217) 757-2387 | |
| (217) 788-5582 |
| Full Name | Dr Timothy Alan Mikesell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 701 N 1st St, Springfield, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669811220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 125.062755 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Sacred Heart Hospital | Yankton, SD | Hospital |
| Avera St Anthony's Hospital | O' neill, NE | Hospital |
| Avera Gregory Hospital | Gregory, SD | Hospital |
| Avera Creighton Hospital | Creighton, NE | Hospital |
| Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacred Heart Health Services | 6103729066 | 85 |
| Sacred Heart Health Services | 6103729066 | 85 |
| Entity Name | Avera St Anthonys Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1891738936 PECOS PAC ID: 4486548203 Enrollment ID: O20071128000149 |
| Entity Name | Sacred Heart Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508093147 PECOS PAC ID: 6103729066 Enrollment ID: O20091020000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Alan Mikesell, MD 701 N 1st St, Box 101, Springfield, IL 62781-0001 Ph: (217) 757-2387 | Dr Timothy Alan Mikesell, MD 701 N 1st St, Springfield, IL 62702-3757 Ph: (217) 757-2387 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Medicare Enrolled Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |