Nickolas Williams, in Maple Grove, MN

Nickolas Williams, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Maple Grove, Minnesota. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Park Nicollet Clinic and his current practice location is 9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-1440.

Nickolas Williams is licensed to practice in Iowa (license number DO-05601) 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 1053840041.

Contact Information

	Nickolas Williams,
	9555 Upland Ln N, Maple Grove, MN 55369-4485
	(952) 993-1440
	Not Available

Map and Direction

Physician's Profile

Full Name	Nickolas Williams
Gender	Male
Speciality	Psychiatry
Experience	7 Years
Location	9555 Upland Ln N, Maple Grove, 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:

Nickolas Williams graduated from medical school in 2017

NPI Data:

NPI Number: 1053840041
Provider Enumeration Date: 06/05/2017
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 9032489372
Enrollment ID: I20230929003518

Medical Identifiers

Medical identifiers for Nickolas Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053840041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	DO-05601 (Iowa)	Primary
207Q00000X	Family Medicine	R-10976 (Iowa)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. Nickolas Williams allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Nickolas Williams 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
Nickolas Williams, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Nickolas Williams, 9555 Upland Ln N, Maple Grove, MN 55369-4485 Ph: (952) 993-1440

Reviews and Comments

Psychiatry & Neurology Doctors in Maple Grove, MN

Dr. Anita Thampy, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121
Nahashon M Njagi, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17655 65th Pl N, Maple Grove, MN 55311 Phone: 612-226-6386
Natalia Semenovna Dorland, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 Phone: 763-302-4114 Fax: 763-302-4081
Aboubakar Sharaf, MBBCH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 Phone: 763-302-4114
Dr. Eve R Rogers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12000 Elm Creek Blvd N, Suite 360, Maple Grove, MN 55369 Phone: 763-315-4300 Fax: 763-315-4360
Suzanne G Jasberg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7767 Elm Creek Blvd N Ste 220, Maple Grove, MN 55369 Phone: 651-313-8080

Nickolas Williams, - Medicare Psychiatry in Maple Grove, MN