| Michael Keith Mietz, PA | |
|
925 Bevins Court, Lakeport, CA 95453-9754 | |
| (707) 263-8383 | |
| (707) 263-5019 |
| Full Name | Michael Keith Mietz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 925 Bevins Court, Lakeport, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689944779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA52485 (California) | Primary |
| 363A00000X | Physician Assistant | 015421 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake County Tribal Health Consortium Inc | 8729975545 | 37 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Keith Mietz, PA 925 Bevins Court, Lakeport, CA 95453-9754 Ph: (707) 263-8383 | Michael Keith Mietz, PA 925 Bevins Court, Lakeport, CA 95453-9754 Ph: (707) 263-8383 |
Ms. Nichol Ann Kriz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Road East, Lakeport, CA 95453 Phone: 707-262-5000 | |
Jayla Flaum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 987 Parallel Dr Ste C, Lakeport, CA 95453 Phone: 707-262-5088 | |
Erin E Thurman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5150 Hill Rd E Ste E, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-263-4036 | |
Amanda L Smithers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5196 Hill Rd E Ste 300, Lakeport, CA 95453 Phone: 707-263-6885 | |
Christine Anne Goold, FNP/PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5144 Hill Rd E, Lakeport, CA 95453 Phone: 707-263-8955 Fax: 707-263-8340 | |
Jaques Ngakam, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-263-3746 Fax: 707-263-3749 | |
Mr. Sheldon King Sloan, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-253-8382 Fax: 707-263-1909 |