Nicholle Co Nacionales, PA-C in Plymouth, MN - Medicare Physician Assistant

Nicholle Co Nacionales, PA-C is a medicare enrolled "Physician Assistant" in Plymouth, Minnesota. Her current practice location is 4645 Trenton Cir N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 234-7928.

Nicholle Co Nacionales is licensed to practice in Minnesota (license number 14764) 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 1467120451.

Contact Information

	Nicholle Co Nacionales, PA-C
	4645 Trenton Cir N, Plymouth, MN 55442-3146
	(763) 234-7928
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholle Co Nacionales
Gender	Female
Speciality	Physician Assistant
Location	4645 Trenton Cir N, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467120451
Provider Enumeration Date: 09/02/2021
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4183076615
Enrollment ID: I20240119001803

Medical Identifiers

Medical identifiers for Nicholle Co Nacionales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467120451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363A00000X	Physician Assistant	14764 (Minnesota)	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. Nicholle Co Nacionales 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
Nicholle Co Nacionales, PA-C 4645 Trenton Cir N, Plymouth, MN 55442-3146 Ph: (763) 234-7928	Nicholle Co Nacionales, PA-C 4645 Trenton Cir N, Plymouth, MN 55442-3146 Ph: (763) 234-7928

Reviews and Comments

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Nicholle Co Nacionales, PA-C - Medicare Physician Assistant in Plymouth, MN