Micklesen Drug Inc
NPI 1982781308ActiveOrganization· Pharmacist· Hudson, WI
Pharmacist in Hudson, Wisconsin, registered in NPPES in November 2006. The authorized official on file is Mark C. Anderson, RPH PHARMACIST IN CH, President. Medicare paid $15,893 for services to 62 patients in 2024.
Overview
| NPI | 1982781308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 4862042 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (WI); Part B Supplier - Mass Immunization (Roster Biller Only) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 202 across 11 procedure codes |
| Paid by Medicare | $15,893 |
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