Chad Randal Vickers, PMHNP in Saint Paul, MN - Medicare Nurse Practitioner

Chad Randal Vickers, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Paul, Minnesota. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Westside Family Healthcare, Inc., Woodland Centers and his current practice location is 135 Colorado Street East, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 489-7740.

Chad Randal Vickers is licensed to practice in Minnesota (license number 6371) 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 1780753681.

Contact Information

	Chad Randal Vickers, PMHNP
	135 Colorado Street East, Saint Paul, MN 55107
	(651) 489-7740
	(651) 489-6458

Map and Direction

Provider's Profile

Full Name	Chad Randal Vickers
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	135 Colorado Street East, Saint Paul, 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:

Chad Randal Vickers graduated from nursing school in 2011

NPI Data:

NPI Number: 1780753681
Provider Enumeration Date: 11/06/2006
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 2567555311
Enrollment ID: I20190220000002

Medical Identifiers

Medical identifiers for Chad Randal Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780753681	NPI	-	NPPES
200101760A	Medicaid	OK
P01078815	Other	TX	RAILROAD MEDICARE
1780753681	Medicaid	MN
182997003	Medicaid	TX
868N62	Other	TX	BCBS
182997001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	706002 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	706002 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	L8-0000171 (Delaware)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	6371 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Westside Family Healthcare, Inc.	6800706599	39
Woodland Centers	7416860457	34

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. Chad Randal Vickers allows following entities to bill medicare on his behalf.

Entity Name	Woodland Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295818862 PECOS PAC ID: 7416860457 Enrollment ID: O20031106000600

Entity Name	Central Minnesota Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831177195 PECOS PAC ID: 4486555877 Enrollment ID: O20040119000248

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. Chad Randal Vickers 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
Chad Randal Vickers, PMHNP 135 Colorado Street East, Saint Paul, MN 55107 Ph: (651) 489-7740	Chad Randal Vickers, PMHNP 135 Colorado Street East, Saint Paul, MN 55107 Ph: (651) 489-7740

Reviews and Comments

Nurse Practitioner Nurses in Saint Paul, MN

Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406
Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Chad Randal Vickers, PMHNP - Medicare Nurse Practitioner in Saint Paul, MN