Nicole Denae Benjamin Reddick, PA-C - Medicare Physician Assistant in Neenah, WI

Nicole Denae Benjamin Reddick, PA-C is a medicare enrolled "Physician Assistant" in Neenah, Wisconsin. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Thedacare, Incorporated and her current practice location is 100 Theda Clark Medical Plz Ste 340, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 364-3600.

Nicole Denae Benjamin Reddick is licensed to practice in Wisconsin (license number 2729) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659383040.

Contact Information

Nicole Denae Benjamin Reddick, PA-C
100 Theda Clark Medical Plz Ste 340,
Neenah, WI 54956-2763
(920) 364-3600
(920) 364-3900

Map and Direction




Provider's Profile

Full NameNicole Denae Benjamin Reddick
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location100 Theda Clark Medical Plz Ste 340, Neenah, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Denae Benjamin Reddick graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1659383040
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749214559
  • Enrollment ID: I20110617000616

Medical Identifiers

Medical identifiers for Nicole Denae Benjamin Reddick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659383040NPI-NPPES
8Y0227OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA04542 (Texas)Secondary
363A00000XPhysician Assistant 2729 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare, Incorporated1759294887509

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. Nicole Denae Benjamin Reddick 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 AddressPractice Location Address
Nicole Denae Benjamin Reddick, PA-C
100 Theda Clark Medical Plz Ste 340,
Neenah, WI 54956-2763

Ph: (920) 364-3600
Nicole Denae Benjamin Reddick, PA-C
100 Theda Clark Medical Plz Ste 340,
Neenah, WI 54956-2763

Ph: (920) 364-3600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.