| Nicole T Lowe, MD | |
|
9855 Hospital Dr, Maple Grove, MN 55369-4648 | |
| (763) 581-9220 | |
| (763) 581-9221 |
| Full Name | Nicole T Lowe |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 9855 Hospital Dr, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023014438 | NPI | - | NPPES |
| 080172806 | Other | IL | RR MEDICARE |
| 441397 | Other | HEALTHLINK | |
| 036101859 | Medicaid | IL | |
| 38398 | Other | GROUP HEALTH PLAN | |
| 0100970 | Other | UNITED HEALTHCARE | |
| 1023014438 | Medicaid | MO | |
| 4622029 | Other | IL | ADMINISTAR |
| 036101859-3 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | BL6168442 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036101859 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 54499 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole T Lowe, MD 9855 Hospital Drive, Maple Grove, MN 55369 Ph: (763) 581-9220 | Nicole T Lowe, MD 9855 Hospital Dr, Maple Grove, MN 55369-4648 Ph: (763) 581-9220 |
Dr. Pamela D Doorenbos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Dr, Suite 300, Maple Grove, MN 55369 Phone: 763-494-7500 Fax: 763-494-7501 | |
Keith Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr Ste 102, Maple Grove, MN 55369 Phone: 763-581-5900 Fax: 763-581-5901 | |
Dr. Mark S Hench, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9855 Hospital Dr, Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220 | |
Mirtha Nesheim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 763-420-5822 Fax: 763-420-6387 | |
Ronald B Boeding, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192 | |
Moushumi Meher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Pamela Kolacz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6320 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 763-268-0400 Fax: 763-268-0405 |