Emily Nicole Hicke, PA is a medicare enrolled "Physician Assistant" physician in Coon Rapids, Minnesota. Her current practice location is
9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 780-9155.
Emily Nicole Hicke is licensed to practice in Minnesota (license number 14273) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083323190.
Physician's Profile
Full Name | Emily Nicole Hicke |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083323190
- Provider Enumeration Date: 11/17/2022
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042680274
- Enrollment ID: I20230105000524
Medical Identifiers
Medical identifiers for Emily Nicole Hicke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083323190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14273 (Minnesota) | Secondary |
363AM0700X | Physician Assistant - Medical | 14273 (Minnesota) | Secondary |
363A00000X | Physician Assistant | 14273 (Minnesota) | Primary |
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. Emily Nicole Hicke 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 |
Emily Nicole Hicke, PA 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Emily Nicole Hicke, PA 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155 |
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