Dr Nicole Marie Therrien, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Roseville, Minnesota. She went to University Of Nevada School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Tareen Dermatology Pa and her current practice location is
2720 Fairview Ave N Ste 200, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 633-6883.
Dr Nicole Marie Therrien is licensed to practice in Minnesota (license number 67234) 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 1912391145.
Physician's Profile
| Full Name | Dr Nicole Marie Therrien |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 9 Years |
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| Location | 2720 Fairview Ave N Ste 200, Roseville, 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:
- Dr Nicole Marie Therrien attended and graduated from University Of Nevada School Of Medicine in 2015
NPI Data:
- NPI Number: 1912391145
- Provider Enumeration Date: 03/25/2015
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214279645
- Enrollment ID: I20200707000907
Medical Identifiers
Medical identifiers for Dr Nicole Marie Therrien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912391145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 67234 (Minnesota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | CDRH.0061471 (Colorado) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 94728 (Montana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 67234 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tareen Dermatology Pa | 8123288156 | 23 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Marie Therrien allows following entities to bill medicare on her behalf.
| Entity Name | Tareen Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063782621
PECOS PAC ID: 8123288156
Enrollment ID: O20120328000470 |
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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. Dr Nicole Marie Therrien 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 |
|---|
Dr Nicole Marie Therrien, MD
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Dr Nicole Marie Therrien, MD
2720 Fairview Ave N Ste 200,
Roseville, MN 55113-1306
Ph: (651) 633-6883 |
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