Dr Andrew Nickels, MD is a medicare enrolled "Allergy & Immunology" physician in Burnsville, Minnesota. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Park Nicollet Clinic and his current practice location is
14000 Fairview Dr, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-8700.
Dr Andrew Nickels is licensed to practice in Minnesota (license number 56208) 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 1922230101.
Physician's Profile
| Full Name | Dr Andrew Nickels |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 15 Years |
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| Location | 14000 Fairview Dr, Burnsville, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Andrew Nickels attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2009
NPI Data:
- NPI Number: 1922230101
- Provider Enumeration Date: 08/20/2009
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224279799
- Enrollment ID: I20130725000410
Medical Identifiers
Medical identifiers for Dr Andrew Nickels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922230101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | MD53016 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 125055926 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | MD53016 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 125055926 (Illinois) | Secondary |
| 208000000X | Pediatrics | 56208 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 53016 (Tennessee) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 53016 (Tennessee) | Secondary |
| 207K00000X | Allergy & Immunology | 56208 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1530 |
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. Dr Andrew Nickels allows following entities to bill medicare on his behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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| Entity Name | Hutchinson Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053508820
PECOS PAC ID: 0345330072
Enrollment ID: O20080312000695 |
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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. Dr Andrew Nickels 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 |
|---|
Dr Andrew Nickels, MD
Po Box 1309, Mail Stop 21110q,
Minneapolis, MN 55440-1309
Ph: (952) 993-8700 | Dr Andrew Nickels, MD
14000 Fairview Dr,
Burnsville, MN 55337-5713
Ph: (952) 993-8700 |
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