Thomas Mikkelson, MD is a
Internal Medicine physician based in East Saint Louis, Illinois. Thomas Mikkelson is licensed to practice in Illinois (license number ) and his current practice location is 5900 Bond Ave, East Saint Louis, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 332-5212.
NPI number for Thomas Mikkelson is 1881708410 and his current mailing address is 1836 Lackland Hill Pkwy, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881708410.
Physician's Profile
| Full Name | Thomas Mikkelson |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 5900 Bond Ave, East Saint Louis, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881708410
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Thomas Mikkelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881708410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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. Thomas Mikkelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas Mikkelson, MD
1836 Lackland Hill Pkwy,
Saint Louis, MO 63146-3572
Ph: (314) 872-1439 | Thomas Mikkelson, MD
5900 Bond Ave,
East Saint Louis, IL 62207-2326
Ph: (618) 332-5212 |
Reviews and Comments