Christina Lee Mikesell

D.O. | Pediatric Pulmonology | Female

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Complete Profile:

Christina Lee Mikesell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Christina Lee Mikesell
Credential :	D.O.
Gender :	Female

Business Address:

Christina Lee Mikesell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2530 Chicago Ave, Suite 400 Minneapolis, MN, 55404-4289 United States
Phone Number :	612-813-3300
Fax Number :	612-813-3349

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1578756045
NPI Entity Type :	Individual
First Enrolment Date :	19 Aug, 2007
Last Updated On :	19 Oct, 2011

Medicare Participation:

Christina Lee Mikesell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5890863369
Medicare Enrollment ID :	I20081010000268
Primary Specialty :	Pulmonary Disease
Medical School :	Midwestern University, Chicago College Of Osteopathic Med
Graduation Year :	2005
Accepts Medicare?	Yes. Christina Lee Mikesell accepts medicare insurance.

Group Practice Association:

Christina Lee Mikesell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Christina Lee Mikesell is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Gillette Childrens Specialty Healthcare	0547169211	56	200 University Ave E Saint Paul, MN - 551012507 Ph: 6512912848	Yes
Gillette Childrens Specialty Healthcare	0547169211	56	435 Phalen Blvd Saint Paul, MN - 551305302 Ph: 6516369443	Yes
Children's Respiratory And Critical Care Specialists Pa	8022084235	6	2530 Chicago Ave Suite 400 Minneapolis, MN - 554044387 Ph: 6128133300	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christina Lee Mikesell are as mentioned. Primary taxonomy code for Christina Lee Mikesell, D.O. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	50432	MN
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	50432	MN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2530 Chicago Ave, Suite 400 Minneapolis, MN, 55404-4289 United States
Phone Number :	612-813-3300
Fax Number :	612-813-3349

Business Location:

Patients can refer following map for directions to Christina Lee Mikesell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.