| Mikal Joseph Mikkelson, PA-C | |
|
1101 Moulton And Parsons Dr, Saint James, MN 56081-5550 | |
| (507) 375-3391 | |
| Not Available |
| Full Name | Mikal Joseph Mikkelson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1101 Moulton And Parsons Dr, Saint James, Minnesota |
| 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 |
|---|---|---|---|
| 1093896037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10977 (Minnesota) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 1841 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ecumen Home Care-pathstone | Mankato, MN | Home health agency |
| Adara Home Health Inc | Buffalo, MN | Home health agency |
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Mayo Clinic Health System St. James | St james, MN | Hospital |
| Mayo Clinic Health System-waseca | Waseca, MN | Hospital |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 658 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023177730 PECOS PAC ID: 9537170352 Enrollment ID: O20060509000021 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639198732 PECOS PAC ID: 9537170352 Enrollment ID: O20080108000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikal Joseph Mikkelson, PA-C 1101 Moulton And Parsons Dr, Saint James, MN 56081-5550 Ph: (507) 375-3391 | Mikal Joseph Mikkelson, PA-C 1101 Moulton And Parsons Dr, Saint James, MN 56081-5550 Ph: (507) 375-3391 |
Paige Marie Gernes-sanchez Morales, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Moulton And Parsons Dr, Saint James, MN 56081 Phone: 507-375-3391 |
Laura Grace Kostos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1101 Moulton & Parsons Dr, Saint James, MN 56081 Phone: 507-375-3391 |