Nicole M Chickris-bollaert, MD in Moline, IL

Nicole M Chickris-bollaert, MD is a medicare enrolled "Family Medicine" physician in Moline, Illinois. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Iowa Physicians Clinic Medical Foundation and her current practice location is 5401 44th Avenue Dr Ste 101, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 779-4050.

Nicole M Chickris-bollaert is licensed to practice in Illinois (license number 036.130996) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922329507.

Contact Information

	Nicole M Chickris-bollaert, MD
	5401 44th Avenue Dr Ste 101, Moline, IL 61265-8126
	(309) 779-4050
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole M Chickris-bollaert
Gender	Female
Speciality	Family Practice
Experience	15 Years
Location	5401 44th Avenue Dr Ste 101, Moline, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole M Chickris-bollaert graduated from medical school in 2009

NPI Data:

NPI Number: 1922329507
Provider Enumeration Date: 06/17/2010
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 7012160286
Enrollment ID: I20130122000184

Medical Identifiers

Medical identifiers for Nicole M Chickris-bollaert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922329507	NPI	-	NPPES
1922329507	Medicaid	IL
036130996	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036.130996 (Illinois)	Primary
390200000X	Student In An Organized Health Care Education/training Program	125058663 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Unity Point At Home	Moline, IL	Home health agency
Trinity - Rock Island	Rock island, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iowa Physicians Clinic Medical Foundation	8729992318	971

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. Nicole M Chickris-bollaert allows following entities to bill medicare on her behalf.

Entity Name	Iowa Physicians Clinic Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20040512000055

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. Nicole M Chickris-bollaert 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
Nicole M Chickris-bollaert, MD 525 Valley View Dr, Moline, IL 61265-6138 Ph: (309) 792-9869	Nicole M Chickris-bollaert, MD 5401 44th Avenue Dr Ste 101, Moline, IL 61265-8126 Ph: (309) 779-4050

Reviews and Comments

Family Medicine Doctors in Moline, IL

Mrs. Tracy L Bier, APRN-FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 106 19th Ave, Moline, IL 61265 Phone: 309-736-1826
Dr. William E. Rankin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 41st St, Moline, IL 61265 Phone: 309-764-1880 Fax: 309-764-3766
Maged Ghoprial, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 44th Avenue Dr Ste 101, Moline, IL 61265 Phone: 309-779-4050 Fax: 309-779-4057
Meghan Hite, ARNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1100 36th Ave, Moline, IL 61265 Phone: 309-743-6700 Fax: 309-764-2042
Paul C Mcloone, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Valley View Dr, Moline, IL 61265 Phone: 309-762-9869 Fax: 309-762-2313
Enrique M. Bringas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Valley View Dr, Suite 201, Moline, IL 61265 Phone: 309-764-9404 Fax: 309-764-9406
Hephzibah Esther Chelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Valley View Dr, Moline, IL 61265 Phone: 309-764-9675 Fax: 309-764-3106

Nicole M Chickris-bollaert, MD - Medicare Family Practice in Moline, IL