Mr Brent S Mickley, PA in Jacksonville, FL - Medicare Physician Assistant

Mr Brent S Mickley, PA is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Baptist Cardiology, Inc. and his current practice location is 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 493-8001.

Mr Brent S Mickley is licensed to practice in Florida (license number PA9103362) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124034269.

Contact Information

	Mr Brent S Mickley, PA
	14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616
	(904) 493-8001
	(904) 338-0852

Map and Direction

Provider's Profile

Full Name	Mr Brent S Mickley
Gender	Male
Speciality	Physician Assistant
Experience	19 Years
Location	14534 Old Saint Augustine Rd Ste 3420, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Brent S Mickley graduated from nursing school in 2005

NPI Data:

NPI Number: 1124034269
Provider Enumeration Date: 07/31/2006
Last Update Date: 03/31/2020

Medicare PECOS Information:

PECOS PAC ID: 1254364300
Enrollment ID: I20050919000196

Medical Identifiers

Medical identifiers for Mr Brent S Mickley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124034269	NPI	-	NPPES
018231000	Medicaid	FL
P01718560	Other	FL	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-05496 (North Carolina)	Secondary
363A00000X	Physician Assistant	PA9103362 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Cardiology, Inc.	2466614581	80

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brent S Mickley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Brent S Mickley, PA Po Box 43667, Jacksonville, FL 32203-3667 Ph: (904) 720-0599	Mr Brent S Mickley, PA 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 Ph: (904) 493-8001

Reviews and Comments

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Mr Brent S Mickley, PA - Medicare Physician Assistant in Jacksonville, FL