Nicolle Kahl Wisniewski, MPAS, PA-C in Fairbanks, AK

Nicolle Kahl Wisniewski, MPAS, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Fairbanks, Alaska. Her current practice location is 1001 Noble St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3500.

Nicolle Kahl Wisniewski is licensed to practice in Alaska (license number 1000) 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 1871579961.

Contact Information

	Nicolle Kahl Wisniewski, MPAS, PA-C
	1001 Noble St, Fairbanks, AK 99701-4922
	(907) 459-3500
	(907) 458-2653

Map and Direction

Provider's Profile

Full Name	Nicolle Kahl Wisniewski
Gender	Female
Speciality	Physician Assistant - Surgical
Location	1001 Noble St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871579961
Provider Enumeration Date: 12/20/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8123917796
Enrollment ID: I20111205000941

Medical Identifiers

Medical identifiers for Nicolle Kahl Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871579961	NPI	-	NPPES
991491900	Medicaid	MN
1575427	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1000 (Alaska)	Secondary
363AS0400X	Physician Assistant - Surgical	9868 (Minnesota)	Secondary
363AS0400X	Physician Assistant - Surgical	1000 (Alaska)	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. Nicolle Kahl Wisniewski 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
Nicolle Kahl Wisniewski, MPAS, PA-C 1919 Lathrop St, Ste # 105, Fairbanks, AK 99701-5937 Ph: (907) 451-6561	Nicolle Kahl Wisniewski, MPAS, PA-C 1001 Noble St, Fairbanks, AK 99701-4922 Ph: (907) 459-3500

Reviews and Comments

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Tatiana Carlin Olson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-458-2682 Fax: 907-458-2628
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Mrs. Jodee Lynn Deutsch Trivette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-6943

Nicolle Kahl Wisniewski, MPAS, PA-C - Medicare Physician Assistant in Fairbanks, AK