Charles P Nicholson, MD in Edina, MN - Medicare Vascular Surgery

Charles P Nicholson, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Edina, Minnesota. He went to University Of Alabama School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Fairview Express Care and his current practice location is 6405 France Ave S, Suite W440, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 927-7004.

Charles P Nicholson is licensed to practice in Minnesota (license number 31132) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114958097.

Contact Information

	Charles P Nicholson, MD
	6405 France Ave S, Suite W440, Edina, MN 55435-2163
	(952) 927-7004
	(952) 927-5146

Map and Direction

Physician's Profile

Full Name	Charles P Nicholson
Gender	Male
Speciality	Vascular Surgery
Experience	38 Years
Location	6405 France Ave S, Edina, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles P Nicholson attended and graduated from University Of Alabama School Of Medicine in 1986

NPI Data:

NPI Number: 1114958097
Provider Enumeration Date: 07/06/2006
Last Update Date: 03/08/2017

Medicare PECOS Information:

PECOS PAC ID: 1456346642
Enrollment ID: I20050608000180

Medical Identifiers

Medical identifiers for Charles P Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114958097	NPI	-	NPPES
335792900	Medicaid	MN
770000441	Other	MN	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	31132 (Minnesota)	Secondary
2086S0129X	Surgery - Vascular Surgery	31132 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1537

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles P Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles P Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles P Nicholson, MD 6405 France Ave S, #w440, Edina, MN 55435-2163 Ph: (952) 927-7004	Charles P Nicholson, MD 6405 France Ave S, Suite W440, Edina, MN 55435-2163 Ph: (952) 927-7004

Reviews and Comments

Surgery Doctors in Edina, MN

David G Rustad, MD Surgery Medicare: Medicare Enrolled Practice Location: 7710 Computer Ave, #110, Edina, MN 55435 Phone: 952-835-9442 Fax: 952-835-9443
James H. Andrisevic, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4570 W 77th St, Suite 235, Edina, MN 55435 Phone: 952-832-0805 Fax: 952-832-5597
Paul L. Benn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146
Dr. Jonathan David Witzke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 220, Edina, MN 55435 Phone: 952-925-1111 Fax: 952-922-3446
Dr. Robert Joseph Reese, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 6525 France Ave S, Suite, Edina, MN 55435 Phone: 803-808-8070 Fax: 803-808-8074
George J. Nemanich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146

Charles P Nicholson, MD - Medicare Vascular Surgery in Edina, MN