John G Mickelson, DO | |
2930 Ne West Devils Lake Rd Ste 3, Lincoln City, OR 97367-5195 | |
(541) 557-6427 | |
Not Available |
Full Name | John G Mickelson |
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Gender | Male |
Speciality | Family Medicine |
Location | 2930 Ne West Devils Lake Rd Ste 3, Lincoln City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497773097 | NPI | - | NPPES |
Entity Name | Innovis Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
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John G Mickelson, DO Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | John G Mickelson, DO 2930 Ne West Devils Lake Rd Ste 3, Lincoln City, OR 97367-5195 Ph: (541) 557-6427 |
William S. Cornish, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 825 Nw Highway 101, Suite A, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-557-6439 | |
Lynn Beatty Athens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Nw Highway 101 Ste A, Lincoln City, OR 97367 Phone: 541-996-7480 | |
Dr. Robert J. Kaye, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 825 Nw Highway 101, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-557-6439 | |
Marilyn Jean Fraser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-994-9191 Fax: 541-994-9034 | |
Brian Craig Handley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367 Phone: 503-965-6555 Fax: 503-965-6800 |