6500 E 2ND ST SUITE 200
CASPER, WY 82609-4338 US PECOS Enrolled
Joseph Edward Mickelson
Family Medicine Physician
- CASPER, WY
- Phone: (307)-577-5100
- Last Updated 8/11/2020
Overview
Joseph Edward Mickelson is a Family Medicine Physician in the CASPER area and has over 30 years of experience. Joseph Edward Mickelson primary office location is at 6500 E 2ND ST and new patients are welcome to contact this healthcare provider for an appointment. He attended Creighton University School Of Medicine and graduated 1994
Joseph Edward Mickelson is affiliated with eight hospitals in the CASPER area, including . The NPI number is 1467448043 and the information was updated approximately 4 years ago.
Joseph Edward Mickelson is part of two medical groups, including GLENROCK HOSPITAL DISTRICT.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 5638A | WY |
| Type/Issuer | Identifier | State |
|---|---|---|
| BC/BS | 315272 | WY |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | WY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050822000307 |
| PECOS Individual PAC ID: | 2668365008 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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