Nick Coolidge, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Lansing, Michigan. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Edward W Sparrow Hospital Association and his current practice location is
1140 E Michigan Ave Ste 200, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 364-9400.
Nick Coolidge is licensed to practice in Michigan (license number 5315244432) 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 1194105221.
Physician's Profile
| Full Name | Nick Coolidge |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 1140 E Michigan Ave Ste 200, Lansing, Michigan |
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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:
- Nick Coolidge graduated from medical school in 2019
NPI Data:
- NPI Number: 1194105221
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193057867
- Enrollment ID: I20231013003061
Medical Identifiers
Medical identifiers for Nick Coolidge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194105221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 0010-09447 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5315244432 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Edward W Sparrow Hospital Association | 6709799166 | 525 |
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. Nick Coolidge 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 |
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Nick Coolidge, PA-C
6039 Willomere Cir,
Winston Salem, NC 27107-3731
Ph: (517) 231-0439 | Nick Coolidge, PA-C
1140 E Michigan Ave Ste 200,
Lansing, MI 48912-1806
Ph: (517) 364-9400 |
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