Nicholine F Crick, APNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Gilman, Wisconsin. Her current practice location is
320 E Main, Gilman, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 447-8293.
Nicholine F Crick is licensed to practice in Wisconsin (license number 1160-033) 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 1588683726.
Provider's Profile
| Full Name | Nicholine F Crick |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 320 E Main, Gilman, Wisconsin |
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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: 1588683726
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 01/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 6507869740
- Enrollment ID: I20060809000096
Medical Identifiers
Medical identifiers for Nicholine F Crick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588683726 | NPI | - | NPPES |
| 43928800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 1160-033 (Wisconsin) | 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. Nicholine F Crick allows following entities to bill medicare on her behalf.
| Entity Name | County Of Rusk |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710970041
PECOS PAC ID: 8820908049
Enrollment ID: O20040128000291 |
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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. Nicholine F Crick 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 |
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Nicholine F Crick, APNP
900 College Ave W,
Ladysmith, WI 54848-2116
Ph: (715) 748-7502 | Nicholine F Crick, APNP
320 E Main,
Gilman, WI 54433
Ph: (715) 447-8293 |
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