Melissa Mikul, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.776 Issued in AL

Practice address

58 Roy Beall Dr
Luverne, AL 36049-6800

Phone

(334) 335-1212

NPI assigned

Sep 30, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of South Alabama College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crenshaw County Health Care AuthorityGroup PAC ID 4385073436, 10 clinicians

Professional Resources Management of Crenshaw LLCGroup PAC ID 8325006604, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crenshaw Community Hospital Hospital, Luverne, AL, CCN 011308
• Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crenshaw County Health Care Authority

  dba Crenshaw Community Hospital

  • Critical Access Hospital
  • Luverne, AL
  • NPI 1750480406
  Medicare reassignment Care Compare group
• Crenshaw County Health Care Authority

  dba Crenshaw Family Care Center

  • Rural Health Clinic/Center
  • Luverne, AL
  • NPI 1194811901
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crenshaw County Health Care Authority

  dba Crenshaw Community Hospital

  • Critical Access Hospital
  • Luverne, AL
  • NPI 1750480406
  Care Compare affiliation
• Troy Hospital Health Care Authority

  dba Troy Regional Medical Center

  • Rural Acute Care Hospital
  • Troy, AL
  • NPI 1770814626
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1306120910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ROY BEALL DR",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360496800",
            "telephone_number": "334-335-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUL",
        "first_name": "MELISSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA.776",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilymaze Healthcare LLC.
• Luverne Health and Rehabilitation, LLC
• Luverne Health Clinic, P.a.
• Luverne Rescue Squad
• Michael Stephen Maddox, RPT
• Amy Hilburn Mills, CRNP
• Brandi Norman
• Physicians Choice Dialysis of Luverne LLC
• Holland Sport Pouncey, PA
• Professional Resources Management Psychiatric Services, LLC (Beacon Behavioral Hospital)

• Physician Assistant in Luverne, AL
• Providers in Luverne, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.