Jillian J Nickelsen, MD | |
1010 Three Springs Blvd, Durango, CO 81301-8296 | |
(970) 247-4311 | |
Not Available |
Full Name | Jillian J Nickelsen |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 1010 Three Springs Blvd, Durango, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265406615 | NPI | - | NPPES |
01370824 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 37082 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Durango, CO | Hospital |
Southwest Memorial Hospital | Cortez, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Upper San Juan Health Service District | 2769571892 | 25 |
Catholic Health Initiatives Colorado | 8022927342 | 972 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Entity Name | Upper San Juan Health Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659523058 PECOS PAC ID: 2769571892 Enrollment ID: O20090817000200 |
Mailing Address | Practice Location Address |
---|---|
Jillian J Nickelsen, MD 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (970) 247-4311 | Jillian J Nickelsen, MD 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (970) 247-4311 |
Julie Pysklo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-247-4311 | |
Jennifer K Heinicke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-247-4311 | |
Frederick O Ochsner, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Mercado St Ste 160, Durango, CO 81301 Phone: 970-385-9850 Fax: 970-385-9854 |