Mrs Melissa Thibault Mikota, APRN, FNP-BC - Medicare Nurse Practitioner in Third Lake, IL

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Mrs Melissa Thibault Mikota, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Third Lake, Illinois. Her current practice location is 34344 N Us Highway 45, Third Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 543-5440.

Mrs Melissa Thibault Mikota is licensed to practice in Illinois (license number 209010057) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346673910.

Contact Information

Mrs Melissa Thibault Mikota, APRN, FNP-BC
34344 N Us Highway 45,
Third Lake, IL 60030-4031
(847) 543-5440
Not Available

Map and Direction




Provider's Profile

Full NameMrs Melissa Thibault Mikota
GenderFemale
SpecialityNurse Practitioner - Family
Location34344 N Us Highway 45, Third Lake, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346673910
  • Provider Enumeration Date: 08/18/2013
  • Last Update Date: 06/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032344544
  • Enrollment ID: I20230113000628

Medical Identifiers

Medical identifiers for Mrs Melissa Thibault Mikota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346673910NPI-NPPES
1346673910MedicaidWA
G8923564OtherWAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP133930 (Texas)Secondary
363LF0000XNurse Practitioner - Family 209010057 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Melissa Thibault Mikota allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Illinois Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356485809
PECOS PAC ID: 8729171566
Enrollment ID: O20070910000607
Entity NameMinuteclinic Video Virtual Care North Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518512227
PECOS PAC ID: 1254762297
Enrollment ID: O20200620000026
Entity NameMinuteclinic Primary Care Illinois Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528875564
PECOS PAC ID: 7416471842
Enrollment ID: O20250408000253

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. Mrs Melissa Thibault Mikota 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 AddressPractice Location Address
Mrs Melissa Thibault Mikota, APRN, FNP-BC
34344 N Us Highway 45,
Third Lake, IL 60030-4031

Ph: (847) 543-5440		Mrs Melissa Thibault Mikota, APRN, FNP-BC
34344 N Us Highway 45,
Third Lake, IL 60030-4031

Ph: (847) 543-5440

Reviews and Comments


Nurse Practitioner Nurses in Third Lake, IL

Laurinia Hunter, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 34344 N Us Highway 45, Third Lake, IL 60030
Phone: 847-543-5440    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.