Glenn A Nickele, MD in St Paul, MN - Medicare Cardiovascular Disease (cardiology)

Glenn A Nickele, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in St Paul, Minnesota. He went to University Of Michigan Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Healthpartners Medical Group, St. Croix Regional Medical Center, Healthpartners Medical Group, St. Croix Regional Medical Center and his current practice location is 640 Jackson St, Mc 11102h, St Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-5175.

Glenn A Nickele is licensed to practice in Minnesota (license number 42548) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093781452.

Contact Information

	Glenn A Nickele, MD
	640 Jackson St, Mc 11102h, St Paul, MN 55101-2502
	(651) 254-5175
	(651) 254-1603

Map and Direction

Physician's Profile

Full Name	Glenn A Nickele
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	35 Years
Location	640 Jackson St, St Paul, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glenn A Nickele attended and graduated from University Of Michigan Medical School in 1989

NPI Data:

NPI Number: 1093781452
Provider Enumeration Date: 02/27/2006
Last Update Date: 08/28/2019

Medicare PECOS Information:

PECOS PAC ID: 2567364128
Enrollment ID: I20040123000428

Medical Identifiers

Medical identifiers for Glenn A Nickele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093781452	NPI	-	NPPES
468980100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	32220 (Wisconsin)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	42548 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Croix Regional Medical Ctr	Saint croix falls, WI	Hospital
Regions Hospital	Saint paul, MN	Hospital
Allina United Hospital	Saint paul, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpartners Medical Group	1759293954	1430
St. Croix Regional Medical Center	9335032184	164
Healthpartners Medical Group	1759293954	1430
St. Croix Regional Medical Center	9335032184	164

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. Glenn A Nickele allows following entities to bill medicare on his behalf.

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	Ladd Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467560227 PECOS PAC ID: 9931092848 Enrollment ID: O20040204000998

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

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. Glenn A Nickele 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
Glenn A Nickele, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (651) 254-5175	Glenn A Nickele, MD 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 Ph: (651) 254-5175

Reviews and Comments

Internal Medicine Doctors in St Paul, MN

William Robert Jahnke Ii, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Ste 250, St Paul, MN 55102 Phone: 651-772-6251 Fax: 651-224-9661
Dr. Neil P Phelan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave West, Suite 423 South, St Paul, MN 55114 Phone: 612-870-5557 Fax: 612-870-5857
Dr. Josaleen Muzquiz Davis, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1055 Westgate Dr, Ste 100, St Paul, MN 55114 Phone: 122-627-8006
Randolph W Hurley, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc 11503f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470
Jeffrry P Jaffe, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11530f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470
Ghaziuddin A Qadri, MBBS Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11503f, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662

Glenn A Nickele, MD - Medicare Cardiovascular Disease (cardiology) in St Paul, MN