Nikola Charleen Radlach-barnack, is a
Physician Assistant physician based in Idaho Falls, Idaho. Nikola Charleen Radlach-barnack is licensed to practice in * (Not Available) (license number ) and her current practice location is 1650 N Holmes Ave, Idaho Falls, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 613-0250.
NPI number for Nikola Charleen Radlach-barnack is 1598460099 and her current mailing address is 1650 N Holmes Ave, Idaho Falls, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598460099.
Physician's Profile
| Full Name | Nikola Charleen Radlach-barnack |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1650 N Holmes Ave, Idaho Falls, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598460099
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 11/17/2025
Medical Identifiers
Medical identifiers for Nikola Charleen Radlach-barnack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598460099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 202740 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Nikola Charleen Radlach-barnack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nikola Charleen Radlach-barnack,
1650 N Holmes Ave,
Idaho Falls, ID 83401-3200
Ph: () - | Nikola Charleen Radlach-barnack,
1650 N Holmes Ave,
Idaho Falls, ID 83401-3200
Ph: (208) 613-0250 |
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