| Mikiyas Fitawok, CAA | |
|
302 Samuel Dr Apt 218, Madison, WI 53717-2216 | |
| (202) 629-6468 | |
| Not Available |
| Full Name | Mikiyas Fitawok |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 4 Years |
| Location | 302 Samuel Dr Apt 218, Madison, Wisconsin |
| 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 |
|---|---|---|---|
| 1447823075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 193-17 (Wisconsin) | Primary |
| 367H00000X | Anesthesiologist Assistant | 75000194A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikiyas Fitawok, CAA 302 Samuel Dr Apt 218, Madison, WI 53717-2216 Ph: (202) 629-6468 | Mikiyas Fitawok, CAA 302 Samuel Dr Apt 218, Madison, WI 53717-2216 Ph: (202) 629-6468 |
Margaret O Schessler, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-263-8111 | |
Mrs. Laura Brichler Wyatt, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-226-3811 | |
Lucas Martin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Nikki L Brechtel, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-263-0575 | |
Andrew J Liu, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 202 S Park St, Madison, WI 53715 Phone: 608-417-6676 | |
Kelly Erin Mcclanahan, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-262-6247 | |
Taylor Lewis, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-262-6247 |