|
Devin A. Mikles, MD, MD(H), F.A.C.P.
Choices Integrative Healthcare of Sedona
2935 Southwest Drive; Sedona, AZ 86336
Phone 928 203 4844; Fax 928 203 4497
Educational background
High School: Heidelberg American, Heidelberg, Germany; Mt. Vernon, Alexandria, Virginia; Tulsa Central, Tulsa, Oklahoma; Herrin Township, Herrin, Illinois.
College:
University of Colorado, Boulder Campus University of Colorado, Colorado Springs Campus Graduation/Degree: December 21, 1979, Bachelor of Arts. Honors in Biology, Magna cum Laude, President’s and Dean’s list of outstanding students Phi Beta Kappa
Medical School: University of Colorado School of Medicine, University of Colorado Health Sciences Center Denver, Colorado; Graduation/Degree May 24, 1984, Doctor of Medicine Honors: Neuroanatomy
POSTGRADUATE TRAINING
Internship: Transitional Medicine; Presbyterian/St. Luke‘s Medical Center Denver, Colorado, 6/23/84-6/22/85.
Residency: Internal Medicine; AMI Presbyterian/St. Luke‘s Medical Center, Denver, Colorado, 7/l/85-6/30/87.
BOARD CERTIFICATION
National Board Examinations Parts 1, 11 & III
Diplomate, American Board of Internal Medicine, September 12, 1989
LICENSURE
Colorado Board of Medical Examiners,
Arizona Board of Medical Examiners,
Arizona State Board of Homeopathic Medical Examiners
Years in practice: Full time since 1987.
What methods we use to make a diagnosis.
A comprehensive written history-taking tool is used. A full physical examination is done. Specific testing is ordered relevant to the individual’s history and physical findings. After the initial evaluation, we meet with the patient to review the findings and make specific treatment recommendations. Often some form of treatment is begun at the conclusion of the first visit if that is appropriate. Patients may choose to be seen by one or several other members of our clinic team to have evaluations pertinent to systems of healing other than conventional medicine. Some see only one of our medical doctors.
Our treatment approach.
This depends on the findings and the diagnosis. We use an integrative approach in general, but we are sensitive to the specific wishes, financial and insurance limitations that the patient presents to us. Everyone’s treatment program is individualized to his or her problems. There is no rigid treatment protocol, but we have made general recommendations to individuals that we feel are useful in any disease process.
What is the cost of the initial evaluation?
First visits for new patients are $250 to $450. Includes doctor’s office visit; new patient assessment and minor lab services in our facility (other off site testing procedures not included). First visits typically last a minimum of one hour. We bill all insurances i.e. Medicare, BC/BS, Cigna and Aetna. We have limited participation with HMO’s, as there is not any significant market penetration of those organizations on our area. We do see HMO patients, but they generally have to pay a higher percentage out of pocket. Most insurers do not cover some of the alternative therapies we provide.
What is the cost of subsequent appointments?
Depends on the complexity of the visit and the types of services rendered this can be anywhere from $30 to $175.
What is the typical amount of time before you can be seen?
Currently I cannot accept any new patients, my associate Dr. Ansorg and our nurse practitioners are, I am available for consultation for all patients. There is about a 30 to 45 day wait for a new patient appointment. We schedule all patients for adequate follow-up visits so that there is no loss of continuity in care.
Email correspondence
I try to answer all email within 24 hours excluding weekends and time away from the office is at all possible. The longest I have been in usual circumstances is 72 hours. drmikles@choiceshealthcare.com
What medical testing labs do we work with?
We use local labs and imaging services for standard testing and imaging. We use a variety of reference and special laboratories for unique testing (this includes Diagnos-techs, Doctor’s Data, Great Smokies Lab, Medical Diagnostic Laboratory, Mayo Clinic Lab, Metamatrix, Nichols, Smith-Kline Beecham, and a few others.
How much do we charge for tests?
We do not charge patients for tests, except for simple ones that we do in the office. Unlike other practices, we do not think that we should be increase the cost of care to patients by adding a surcharge to the testing procedures on tests that are sent elsewhere to be run. We let patients pay directly or help the patient to have them billed to their insurance carrier if possible.
When you receive a test result back from a lab, do you automatically send a copy to the patient?
We usually have patients return to discuss important test results face to face, so that adequate explanation and information can be given, and appropriate treatment based on results can be discussed. A copy of test results is offered at the time of that visit. Alternatively, phone consultation regarding test results is available, and we like to have the patient receive a copy of the test results by mail or fax so that they have the information to refer to during the phone conversation. We do not feel that it is advisable or fair to ask patients to try and interpret medical tests by themselves.
What does one need to do to get a copy of tests? Just ask. We are happy to provide a copy of all test results.
Within what period of time is it sent? Usually within the next business day.
Do we have an administrative assistant that patients communicate with via telephone? Via email? Yes.
How long will it take for them to respond? Usually by the next business day.
Will they always respond? Yes!
Will you fill tubes of blood for tests that the patient acquires and manages? This is not something that we do.
Are you compatible with my HMO/Insurance company? Please feel free to call and ask a member of the clinic administration team about your specific insurance carrier.
|
