Michael Scott Mickelsen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boise, ID

Michael Scott Mickelsen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Intermountain Anesthesia Pa and his current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 390-1648.

Michael Scott Mickelsen is licensed to practice in Idaho (license number RNA-783) 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 1275838021.

Contact Information

Michael Scott Mickelsen, CRNA
1055 N Curtis Rd,
Boise, ID 83706-1309
(208) 390-1648
Not Available



Provider's Profile

Full NameMichael Scott Mickelsen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location1055 N Curtis Rd, Boise, Idaho
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:
  • Michael Scott Mickelsen graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1275838021
  • Provider Enumeration Date: 01/25/2011
  • Last Update Date: 01/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0345420832
  • Enrollment ID: I20110216000304

Medical Identifiers

Medical identifiers for Michael Scott Mickelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275838021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RNA-783 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Anesthesia Pa519363878126

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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. Michael Scott Mickelsen allows following entities to bill medicare on his behalf.
Entity NameBoise Anesthesia, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602298
PECOS PAC ID: 8426960642
Enrollment ID: O20031105000132

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Entity NameIntermountain Anesthesia Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558304329
PECOS PAC ID: 5193638781
Enrollment ID: O20040825000367

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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. Michael Scott 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
Michael Scott Mickelsen, CRNA
413 N 4370 E,
Rigby, ID 83442-4929

Ph: (208) 390-1648
Michael Scott Mickelsen, CRNA
1055 N Curtis Rd,
Boise, ID 83706-1309

Ph: (208) 390-1648

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Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Mr. Douglas Neurath,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    
Jordan B Wolff, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    Fax: 208-338-1796
Nathan S Call, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Ashton Mieritz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2121    
Kenneth Clark Stratton Jr., CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2559    
Diana San Juan Shimko, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-6416    
David Hansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 338 E Bannock St, Boise, ID 83712
Phone: 208-336-0895    

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