Ian Haskell Mikolaj, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fallon, Nevada. He went to Saint Louis University School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice State Of Nevada and his current practice location is
141 Keddie St, Fallon, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 423-7141.
Ian Haskell Mikolaj is licensed to practice in Nevada (license number 24485) 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 1417417015.
Physician's Profile
| Full Name | Ian Haskell Mikolaj |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 6 Years |
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| Location | 141 Keddie St, Fallon, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ian Haskell Mikolaj attended and graduated from Saint Louis University School Of Medicine in 2019
NPI Data:
- NPI Number: 1417417015
- Provider Enumeration Date: 03/21/2019
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779902846
- Enrollment ID: I20240306001760
Medical Identifiers
Medical identifiers for Ian Haskell Mikolaj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417417015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24485 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of Nevada | 9234022153 | 52 |
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. Ian Haskell Mikolaj allows following entities to bill medicare on his behalf.
| Entity Name | State Of Nevada |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760572010
PECOS PAC ID: 9234022153
Enrollment ID: O20040212000160 |
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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. Ian Haskell Mikolaj 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 |
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Ian Haskell Mikolaj, MD
5470 Kietzke Lane, Suite 300 Pmb 350,
Reno, NV 89511-2099
Ph: (775) 284-9111 | Ian Haskell Mikolaj, MD
141 Keddie St,
Fallon, NV 89406-2820
Ph: (775) 423-7141 |
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