Kristen N Mikkelson (NPI# 1740578202, PAC ID# 6002072436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1740578202 |
| PAC ID by PECOS | 6002072436 |
| Professional Enrollment ID | I20121120000334 |
| Full Name | Kristen N Mikkelson |
| Organization Legal Name | GRAHAM A BALCER, OD, PC |
| Address |
16410 3rd St A La Pine OR 97739-8002 |
| Phone Number | 5415362911 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6800947987 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 143 Sw Shevlin-hixon Dr, 101 Riverbend Eyecare, Bend, OR 97702-3189 | 5413179747 | PATRICK AYRES, OD, PC |
| 16410 3rd St, A, La Pine, OR 97739-8002 | 5415362911 | GRAHAM A BALCER, OD, PC |
| Organization Legal Name | GRAHAM A BALCER, OD, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Graham A Balcer | Optometry | Graham A Balcer, Od, PC | 16410 3rd St, A, La Pine, OR 97739-8002 |
| Street Address |
16410 3RD ST A |
| City | LA PINE |
| State | OR |
| Zip | 97739-8002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Graham A Balcer | Optometry | Graham A Balcer, Od, PC | 16410 3rd St, A, La Pine, OR 97739-8002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alwin Borgmann | Family Medicine | St Charles Health System Inc | 51781 Huntington Rd, La Pine, OR 97739-1118 |
| Brenda K Rantala | Nurse Practitioner | St Charles Health System Inc | 51781 Huntington Rd, La Pine, OR 97739-1118 |
| Fredric L Tietz | Emergency Medicine | St Charles Health System Inc | 51781 Huntington Rd, La Pine, OR 97739-1118 |
| Robert George Ross | Family Medicine | St Charles Health System Inc | 51781 Huntington Rd, La Pine, OR 97739-1118 |
| Bryce D Campbell | Physician Assistant | St Charles Health System Inc | 51781 Huntington Rd, La Pine, OR 97739-1118 |
| Laura K Pennavaria | Family Practice | St Charles Health System Inc | 51781 Huntington Rd, La Pine, OR 97739-1118 |
| George E Kohler | Physical Therapy | 16487 Bluewood Pl, Suite 5, La Pine, OR 97739-7526 | |
| Kristina K Timmons | Nurse Practitioner | La Pine Community Health Center | 51605 Coach Rd, La Pine, OR 97739-7556 |
| Michael Rosenfield | Family Medicine | La Pine Community Health Center | 51605 Coach Rd, La Pine, OR 97739-7556 |
| Christina Farleigh | Nurse Practitioner | La Pine Community Health Center | 51605 Coach Rd, La Pine, OR 97739-7556 |
| Find all physicians in zip 97739 | |||
| City | LA PINE |
| Zip Code | 97739 |
| Specialty | OPTOMETRY |
| City + Specialty | LA PINE + OPTOMETRY |
Please comment or provide details below to improve the information on Kristen N Mikkelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.