| Brandon Shawn Mickelson, PA-C | |
|
11760 S 700 E Ste 112, Draper, UT 84020-6605 | |
| (801) 882-9995 | |
| (801) 882-9994 |
| Full Name | Brandon Shawn Mickelson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 11760 S 700 E Ste 112, Draper, Utah |
| 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 |
|---|---|---|---|
| 1790544534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springville Dermatology And Diagnostics Pc | 5991930406 | 6 |
| Entity Name | Springville Dermatology & Diagnostics PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992144364 PECOS PAC ID: 5991930406 Enrollment ID: O20131107001821 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Shawn Mickelson, PA-C 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821 | Brandon Shawn Mickelson, PA-C 11760 S 700 E Ste 112, Draper, UT 84020-6605 Ph: (801) 882-9995 |
Maria Marieta Svagr Margot, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 |
Scott Bruderer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1126 E 12300 S, Draper, UT 84020 Phone: 801-545-0500 Fax: 801-545-0626 |
Nicole Kelly, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12340 S 450 E, Draper, UT 84020 Phone: 801-501-9797 |
Aspen Wayment Jones, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |
Mrs. Nyssa Elise Seaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12101 S State St, Draper, UT 84020 Phone: 801-501-9797 Fax: 801-501-9799 |
Megan Furber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2000 |
Laura Eccles, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 360, Draper, UT 84020 Phone: 801-260-3687 |