Gary Alan Nisius, MD in Plymouth, MN - Medicare Family Practice

Gary Alan Nisius, MD is a medicare enrolled "Family Medicine" physician in Plymouth, Minnesota. He went to University Of Minnesota Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Clinic Pa and his current practice location is 15655 37th Ave N Ste 100, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 587-7900.

Gary Alan Nisius is licensed to practice in Minnesota (license number 41693) 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 1518995042.

Contact Information

	Gary Alan Nisius, MD
	15655 37th Ave N Ste 100, Plymouth, MN 55446-4003
	(763) 587-7900
	(763) 587-7701

Map and Direction

Physician's Profile

Full Name	Gary Alan Nisius
Gender	Male
Speciality	Family Practice
Experience	26 Years
Location	15655 37th Ave N Ste 100, Plymouth, 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:

Gary Alan Nisius attended and graduated from University Of Minnesota Medical School in 1998

NPI Data:

NPI Number: 1518995042
Provider Enumeration Date: 06/30/2006
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 2365566593
Enrollment ID: I20100825000415

Medical Identifiers

Medical identifiers for Gary Alan Nisius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518995042	NPI	-	NPPES
940521600	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	41693 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Clinic Pa	2769384205	48

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. Gary Alan Nisius allows following entities to bill medicare on his behalf.

Entity Name	North Memorial Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470

Entity Name	North Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114962206 PECOS PAC ID: 2769384205 Enrollment ID: O20040123000954

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. Gary Alan Nisius 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
Gary Alan Nisius, MD 9201 W Broadway Ave Ste 601, Brooklyn Park, MN 55445-1924 Ph: (763) 587-7900	Gary Alan Nisius, MD 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003 Ph: (763) 587-7900

Reviews and Comments

Family Medicine Doctors in Plymouth, MN

Melanie A Hoiland, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1495 Hwy 101 N, Plymouth, MN 55447 Phone: 763-476-6776
Eric Michael Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 115, Plymouth, MN 55441 Phone: 763-577-7800 Fax: 763-577-7855
Dr. Natalie A Rehm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1495 County Road 101 N, Plymouth, MN 55447 Phone: 763-504-6600
Dr. Shelly L Anderson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1495 Hwy 101 North, Plymouth, MN 55447 Phone: 763-476-6776
Mr. Mancel Talcott Mitchell Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15655 37th Ave N Ste 100, Plymouth, MN 55446 Phone: 763-587-7900 Fax: 763-587-7701
Lawrence Gale Richmond, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4155 County Road 101 N, Plymouth, MN 55446 Phone: 952-993-8900
Christine S Chang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55, Suite 111, Plymouth, MN 55441 Phone: 763-577-2060 Fax: 763-577-2099

Gary Alan Nisius, MD - Medicare Family Practice in Plymouth, MN