| Mrs Nicole Elizabeth Fogt, PA-C | |
|
1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | |
| (320) 656-7020 | |
| Not Available |
| Full Name | Mrs Nicole Elizabeth Fogt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1200 6th Ave N, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770909749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11514 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 11514 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Meeker Memorial Hospital | Litchfield, MN | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| St Gabriels Hospital | Little falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Elizabeth Fogt, PA-C 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 656-7020 | Mrs Nicole Elizabeth Fogt, PA-C 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 656-7020 |
Becca Barry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 | |
Mr. John Thomas Hardman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Faith Kelly Dammann Schlicht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-255-2700 | |
Claire Emilie Sautner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-229-5099 | |
Timothy Mangold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 | |
Derek Hunwardsen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-253-2663 | |
Maryan Mohamed Aideed, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-252-2422 |