Nicole Stoecken, DO is a medicare enrolled "Pediatrics" physician in Grimes, Iowa. Her current practice location is
825 Ne Gateway Drive, Grimes, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 875-9607.
Nicole Stoecken is licensed to practice in Iowa (license number DO-04682) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932463635.
Physician's Profile
| Full Name | Nicole Stoecken |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 825 Ne Gateway Drive, Grimes, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932463635
- Provider Enumeration Date: 06/27/2012
- Last Update Date: 01/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648413419
- Enrollment ID: I20150806011508
Medical Identifiers
Medical identifiers for Nicole Stoecken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932463635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | DO-04682 (Iowa) | Secondary |
| 208000000X | Pediatrics | DO-04682 (Iowa) | Primary |
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 Stoecken allows following entities to bill medicare on her behalf.
| Entity Name | The Iowa Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346233178
PECOS PAC ID: 4082513742
Enrollment ID: O20040102000222 |
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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 Stoecken 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 Stoecken, DO
Po Box 424,
Des Moines, IA 50302-0424
Ph: (515) 875-9255 | Nicole Stoecken, DO
825 Ne Gateway Drive,
Grimes, IA 50111
Ph: (515) 875-9607 |
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