Dr Phillip Lee Mickelsen, MD - Medicare Anesthesiology Assistant in Kearney, NE

Dr Phillip Lee Mickelsen, MD is a medicare enrolled "Anesthesiology" physician in Kearney, Nebraska. He went to University Of Colorado School Of Medicine, Denver and graduated in 2000 and has 24 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Emergenchealth Pllc and his current practice location is 6420 56th Ave, Kearney, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 224-2062.

Dr Phillip Lee Mickelsen is licensed to practice in Nebraska (license number 32312) 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 1518960012.

Contact Information

Dr Phillip Lee Mickelsen, MD
6420 56th Ave,
Kearney, NE 68845-0380
(308) 224-2062
(888) 974-5962



Physician's Profile

Full NameDr Phillip Lee Mickelsen
GenderMale
SpecialityAnesthesiology Assistant
Experience24 Years
Location6420 56th Ave, Kearney, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Phillip Lee Mickelsen attended and graduated from University Of Colorado School Of Medicine, Denver in 2000
  NPI Data:
  • NPI Number: 1518960012
  • Provider Enumeration Date: 05/27/2005
  • Last Update Date: 01/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062495740
  • Enrollment ID: I20230519001036

Medical Identifiers

Medical identifiers for Dr Phillip Lee Mickelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518960012NPI-NPPES
967331OtherNMPRONET / AETNA
43227252MedicaidNM
859457MedicaidAZ
86929MedicaidNM
107063OtherMNMN MEDICAL LICENSE
NM009R60OtherNMBLUE CROSS BLUE SHEILD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 107063 (Minnesota)Secondary
207L00000XAnesthesiology 32312 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Spohn Hospital Corpus ChristiCorpus christi, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergenchealth Pllc1355606641585

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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. Dr Phillip Lee Mickelsen allows following entities to bill medicare on his behalf.
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20180608000439

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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. Dr Phillip Lee Mickelsen 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
Dr Phillip Lee Mickelsen, MD
6420 56th Ave,
Kearney, NE 68845-0380

Ph: (308) 224-2062
Dr Phillip Lee Mickelsen, MD
6420 56th Ave,
Kearney, NE 68845-0380

Ph: (308) 224-2062

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Anesthesiology Doctors in Kearney, NE

Adetinuwe Majekodunmi, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 10 E 31st St, Kearney, NE 68847
Phone: 308-865-7990    
Robert R Shaffer, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 115 E 52nd St, Kearney, NE 68847
Phone: 308-234-2581    Fax: 308-236-7089
Merlin J Wehling, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 804 22nd Ave, Kearney, NE 68845
Phone: 308-455-3600    
Dr. Jesse Pandorf, JESSE PANDORF M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 10 E 31st St, Kearney, NE 68847
Phone: 308-865-7100    
Fernando A Yepes, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3219 Central Ave, Suite 200, Kearney, NE 68847
Phone: 308-865-7990    
Dr. Burt John Mckeag, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5205 2nd Ave, Kearney, NE 68847
Phone: 308-237-9696    
Pamela Sue Mckeag, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 5205 2nd Ave, Kearney, NE 68847
Phone: 308-237-9696    

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