| Glenn A Nickele, MD | |
|
216 S Adams St, Saint Croix Falls, WI 54024-9449 | |
| (715) 483-3221 | |
| (715) 483-0507 |
| Full Name | Glenn A Nickele |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 36 Years |
| Location | 216 S Adams St, Saint Croix Falls, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093781452 | NPI | - | NPPES |
| 468980100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 42548 (Minnesota) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 32220 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Cambridge Medical Center | Cambridge, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 109 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031223000493 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A Nickele, MD 235 State Street, St. Croix Falls, WI 54024-4117 Ph: (715) 483-3261 | Glenn A Nickele, MD 216 S Adams St, Saint Croix Falls, WI 54024-9449 Ph: (715) 483-3221 |
Muhammad Talha Khan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0539 | |
James R Kravig, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Dr. Lucas Pineda Bernal, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Semi Ayub, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
David C Stevens, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Carl W Hansen, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 |