Glenn A Nickele, MD | |
216 S Adams St, Saint Croix Falls, WI 54024-9449 | |
(715) 483-3221 | |
(715) 483-0507 |
Full Name | Glenn A Nickele |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 35 Years |
Location | 216 S Adams St, Saint Croix Falls, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093781452 | NPI | - | NPPES |
468980100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 42548 (Minnesota) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 32220 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
Regions Hospital | Saint paul, MN | Hospital |
Allina United Hospital | Saint paul, MN | Hospital |
Ladd Memorial Hospital | Osceola, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
St. Croix Regional Medical Center | 9335032184 | 147 |
Healthpartners Medical Group | 1759293954 | 1429 |
St. Croix Regional Medical Center | 9335032184 | 147 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031223000493 |
Entity Name | Amery Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207 |
Entity Name | Ladd Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467560227 PECOS PAC ID: 9931092848 Enrollment ID: O20040204000998 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
Mailing Address | Practice Location Address |
---|---|
Glenn A Nickele, MD 235 State Street, St. Croix Falls, WI 54024-4117 Ph: (715) 483-3261 | Glenn A Nickele, MD 216 S Adams St, Saint Croix Falls, WI 54024-9449 Ph: (715) 483-3221 |
Muhammad Talha Khan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0539 | |
James R Kravig, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Dr. Lucas Pineda Bernal, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Semi Ayub, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
David C Stevens, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Carl W Hansen, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 |