| Mr Mikel W Phillips, CRNA | |
|
90 Hope Dr, Mountain Home A F B, ID 83648-1057 | |
| (208) 828-7367 | |
| Not Available |
| Full Name | Mr Mikel W Phillips |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 90 Hope Dr, Mountain Home A F B, Idaho |
| 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 |
|---|---|---|---|
| 1831185081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041-346550 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041-346550 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1194 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mikel W Phillips, CRNA 100 E Le Fevre Rd, Sterling, IL 61081-1278 Ph: (208) 587-3501 | Mr Mikel W Phillips, CRNA 90 Hope Dr, Mountain Home A F B, ID 83648-1057 Ph: (208) 828-7367 |
Mrs. Bonnie Lea Mack, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home A F B, ID 83648 Phone: 208-828-7648 | |
Ms. Louann Sites, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home A F B, ID 83648 Phone: 208-828-7370 |