John Eliot Nicolaisen, PA in Apple Valley, CA - Medicare Physician Assistant

John Eliot Nicolaisen, PA is a medicare enrolled "Physician Assistant - Medical" in Apple Valley, California. His current practice location is 18523 Corwin Rd Ste G, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 242-3376.

John Eliot Nicolaisen is licensed to practice in California (license number PA52168) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548666738.

Contact Information

	John Eliot Nicolaisen, PA
	18523 Corwin Rd Ste G, Apple Valley, CA 92307-2300
	(760) 242-3376
	Not Available

Map and Direction

Provider's Profile

Full Name	John Eliot Nicolaisen
Gender	Male
Speciality	Physician Assistant - Medical
Location	18523 Corwin Rd Ste G, Apple Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548666738
Provider Enumeration Date: 11/14/2014
Last Update Date: 09/11/2017

Medicare PECOS Information:

PECOS PAC ID: 8325062839
Enrollment ID: I20160526002164

Medical Identifiers

Medical identifiers for John Eliot Nicolaisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548666738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA52168 (California)	Primary

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. John Eliot Nicolaisen 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
John Eliot Nicolaisen, PA Po Box 4057, Blue Jay, CA 92317-4057 Ph: () -	John Eliot Nicolaisen, PA 18523 Corwin Rd Ste G, Apple Valley, CA 92307-2300 Ph: (760) 242-3376

Reviews and Comments

Physician Assistant Nurses in Apple Valley, CA

Craig Alan Wood, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311
Ruth Pena, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18270 Siskiyou Rd, Apple Valley, CA 92307 Phone: 760-242-3677
Mr. Michael S Erskine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16003 Tuscola Rd, Suite F, Apple Valley, CA 92307 Phone: 760-242-8221 Fax: 760-242-8859
Ashley Marie Rugge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-946-8150
Richard Robert Decker, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311
Ms. Nina Gloria Suh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18564 Us Highway 18 Ste 103104, Apple Valley, CA 92307 Phone: 760-242-9262
Meredith Donaldson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16167 Siskiyou Rd, Apple Valley, CA 92307 Phone: 760-242-2146

John Eliot Nicolaisen, PA - Medicare Physician Assistant in Apple Valley, CA