| Melissa Mikul, PA | |
|
58 Roy Beall Dr, Luverne, AL 36049-6800 | |
| (334) 335-1212 | |
| Not Available |
| Full Name | Melissa Mikul |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 58 Roy Beall Dr, Luverne, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306120910 | NPI | - | NPPES |
| PA.776 | Other | AL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.776 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crenshaw Community Hospital | Luverne, AL | Hospital |
| Troy Regional Medical Center | Troy, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crenshaw County Health Care Authority | 4385073436 | 10 |
| Professional Resources Management Of Crenshaw Llc | 8325006604 | 2 |
| Entity Name | Professional Resources Management of Crenshaw LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 8325006604 Enrollment ID: O20050103000959 |
| Entity Name | Crenshaw County Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 4385073436 Enrollment ID: O20201027001062 |
| Entity Name | Crenshaw County Health Care Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 4385073436 Enrollment ID: O20240830001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Mikul, PA 5303 Vaughn Rd, Montgomery, AL 36116-1120 Ph: Not Available | Melissa Mikul, PA 58 Roy Beall Dr, Luverne, AL 36049-6800 Ph: (334) 335-1212 |
Holland Sport Pouncey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1704 S Forest Ave, Luverne, AL 36049 Phone: 334-335-3383 Fax: 334-335-3078 |