Nicole Renee Prosser, PA-C is a medicare enrolled "Physician Assistant" in Zimmerman, Minnesota. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Clinics and her current practice location is
25945 Gateway Dr, Zimmerman, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 856-6900.
Nicole Renee Prosser is licensed to practice in Minnesota (license number 9576) 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 1780635003.
Provider's Profile
| Full Name | Nicole Renee Prosser |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 24 Years |
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| Location | 25945 Gateway Dr, Zimmerman, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Renee Prosser graduated from nursing school in 2000
NPI Data:
- NPI Number: 1780635003
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 05/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 4587694377
- Enrollment ID: I20050822000617
Medical Identifiers
Medical identifiers for Nicole Renee Prosser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780635003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 9576 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairview Clinics | 7113830142 | 658 |
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 Renee Prosser 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 |
|---|
Nicole Renee Prosser, PA-C
25945 Gateway Dr,
Zimmerman, MN 55398-5300
Ph: () - | Nicole Renee Prosser, PA-C
25945 Gateway Dr,
Zimmerman, MN 55398-5300
Ph: (763) 856-6900 |
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