Carl Mickman, MD

EMERGENCY MEDICINE

103 Medicine Way Rd

Peridot, AZ 855420787

(928) 475-1400

**NPI:** 1124445242

**Med School:** LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS

**Experience:** 11 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (5)

SAN CARLOS APACHE HEALTHCARE CORPORATION

103 Medicine Way Rd
Peridot, AZ 855420787

Phone: (928) 475-1400

**Group ID:** 0648580597 | **Group Size:** 111 members

ST. BERNARD EMERGENCY GROUP, LLC

8000 W Judge Perez Dr
Chalmette, LA 700431668

Phone: (504) 826-9500

**Group ID:** 4789960972 | **Group Size:** 19 members

PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC

1701 Oak Park Blvd
Lake Charles, LA 706018911

Phone: (337) 494-3036

**Group ID:** 7012131378 | **Group Size:** 11 members

BELLE CHASSE EMERGENCY GROUP LLC

2500 Belle Chasse Hwy
Terrytown, LA 700567127

Phone: (504) 392-3131

**Group ID:** 7113140070 | **Group Size:** 87 members

ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC

211 4th St
Alexandria, LA 713018421

Phone: (318) 769-3000

**Group ID:** 7214255967 | **Group Size:** 44 members

SAN CARLOS APACHE HEALTHCARE CORPORATION Type: Hospital
103 MEDICINE WAY ROAD
Phone: (928) 475-1200
Medicare CCN: 031320 View Profile

LAKE CHARLES MEMORIAL HOSPITAL Type: Hospital
1701 OAK PARK BLVD
Phone: (337) 494-3000
Medicare CCN: 190060 View Profile

RED LAKE HOSPITAL Type: Hospital
24760 HOSPITAL DRIVE
Phone: (218) 679-3912
Medicare CCN: 240206 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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