Individual ProviderMikayla MichalskyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address965 El Camino Ave, Sacramento, CA 95815-2530(916) 642-1867(702) 493-5033PECOS EnrollmentBased on the most recent information from CMS, provider Mikayla Michalsky is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1841029238Provider TypeIndividualFull NameMichalsky, MikaylaGenderFemaleSole ProprietorNoEnumeration Date8/1/2024Last Updated8/1/2024Contact InformationPractice LocationPractice Address965 El Camino Ave, Sacramento, CA 95815-2530Phone(916) 642-1867FaxUnlisted FaxMailing LocationMailing Address480 E Paradise Hills Dr, Henderson, NV 89002-6543Phone(702) 493-5033FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA64751California