Andrew Gordon Nicholson, MD is a medicare enrolled "Surgery" physician in Otsego, Minnesota. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Family Practice. His current practice location is
7559 Oday Ln Ne, Otsego, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 214-0386.
Andrew Gordon Nicholson is licensed to practice in Minnesota (license number 79893) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063041960.
Physician's Profile
| Full Name | Andrew Gordon Nicholson |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 5 Years |
|---|
| Location | 7559 Oday Ln Ne, Otsego, Minnesota |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrew Gordon Nicholson graduated from medical school in 2020
NPI Data:
- NPI Number: 1063041960
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 11/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143728683
- Enrollment ID: I20250813001354
Medical Identifiers
Medical identifiers for Andrew Gordon Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063041960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 79893 (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. Andrew Gordon Nicholson 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 |
Andrew Gordon Nicholson, MD Po Box 132, Rogers, MN 55374-0132 Ph: (913) 498-6537 | Andrew Gordon Nicholson, MD 7559 Oday Ln Ne, Otsego, MN 55330-6314 Ph: (612) 214-0386 |
Reviews and Comments