Samuel A Mickelson, MD - Medicare Otolaryngology in Atlanta, GA

Samuel A Mickelson, MD is a medicare enrolled "Otolaryngology - Sleep Medicine" physician in Atlanta, Georgia. He went to University Of Michigan Medical School and graduated in 1982 and has 42 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Advanced Ear Nose And Throat Associates Pc and his current practice location is 960 Johnson Ferry Rd, Suite 200, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 943-0900.

Samuel A Mickelson is licensed to practice in Georgia (license number 041173) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1467410977.

Contact Information

Samuel A Mickelson, MD
960 Johnson Ferry Rd, Suite 200,
Atlanta, GA 30342
(404) 943-0900
(404) 943-1390



Physician's Profile

Full NameSamuel A Mickelson
GenderMale
SpecialityOtolaryngology
Experience42 Years
Location960 Johnson Ferry Rd, Atlanta, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel A Mickelson attended and graduated from University Of Michigan Medical School in 1982
  NPI Data:
  • NPI Number: 1467410977
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 05/23/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7719955848
  • Enrollment ID: I20060314000224

Medical Identifiers

Medical identifiers for Samuel A Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467410977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 041173 (Georgia)Secondary
207YS0012XOtolaryngology - Sleep Medicine 041173 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Ear Nose And Throat Associates Pc28604433226

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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. Samuel A Mickelson allows following entities to bill medicare on his behalf.
Entity NameAdvanced Ear Nose And Throat Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073655882
PECOS PAC ID: 2860443322
Enrollment ID: O20050202000598

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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. Samuel A Mickelson 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
Samuel A Mickelson, MD
960 Johnson Ferry Rd, Suite 200,
Atlanta, GA 30342

Ph: (404) 943-0900
Samuel A Mickelson, MD
960 Johnson Ferry Rd, Suite 200,
Atlanta, GA 30342

Ph: (404) 943-0900

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Otolaryngology Doctors in Atlanta, GA

David Wei-hau Chou, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Downwood Cir Nw Ste 640, Atlanta, GA 30327
Phone: 404-778-6880    
Dr. Peter Jay Abramson, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 5673 Peachtree Dunwoody Rd, Ste 150, Atlanta, GA 30342
Phone: 404-297-1780    Fax: 404-252-7255
Dr. Michael Douglas Hellstrom, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 20 Glenlake Pkwy, Kaiser Permanente Medical Group Glenlake, Atlanta, GA 30328
Phone: 404-365-0966    Fax: 864-716-7738
Donald Patrick Dennis, MD
Otolaryngology
Medicare: May Accept Medicare Assignments
Practice Location: 3193 Howell Mill Rd, #215, Atlanta, GA 30327
Phone: 404-355-1312    Fax: 404-352-2798
Dr. Clementino Arturo Solares, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree St Ne Ste 1135, Atlanta, GA 30308
Phone: 404-778-3381    Fax: 216-445-9409
Wiley A Parker, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 5669 Peachtree Dunwoody Rd N, Ste 295, Atlanta, GA 30342
Phone: 404-256-9822    Fax: 404-256-0250
Sarah K Wise, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: Emory Department Of Otolaryngology, 1365a Clifton Road Ne, Suite A2300, Atlanta, GA 30322
Phone: 404-778-3381    

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