Pamela Jean Niksich, MD in Maple Grove, MN

Pamela Jean Niksich, MD is a medicare enrolled "Pediatrics" physician in Maple Grove, Minnesota. Her current practice location is 12720 Bass Lake Rd, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 559-2861.

Pamela Jean Niksich is licensed to practice in Minnesota (license number 45836) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063498673.

Contact Information

	Pamela Jean Niksich, MD
	12720 Bass Lake Rd, Maple Grove, MN 55369-6307
	(763) 559-2861
	(763) 559-1338

Map and Direction

Physician's Profile

Full Name	Pamela Jean Niksich
Gender	Female
Speciality	Pediatrics
Location	12720 Bass Lake Rd, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063498673
Provider Enumeration Date: 12/16/2005
Last Update Date: 06/09/2016

Medicare PECOS Information:

PECOS PAC ID: 2365769726
Enrollment ID: I20150323002086

Medical Identifiers

Medical identifiers for Pamela Jean Niksich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063498673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	45836 (Minnesota)	Primary

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. Pamela Jean Niksich allows following entities to bill medicare on her behalf.

Entity Name	Children's Clinic Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538

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. Pamela Jean Niksich 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
Pamela Jean Niksich, MD 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 Ph: (763) 559-2861	Pamela Jean Niksich, MD 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 Ph: (763) 559-2861

Reviews and Comments

Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000

Pamela Jean Niksich, MD - Medicare Pediatrics in Maple Grove, MN