Mr Marc Nicoloff, PA-C - Medicare Physician Assistant in Maplewood, MN

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Mr Marc Nicoloff, PA-C is a medicare enrolled "Physician Assistant" in Maplewood, Minnesota. His current practice location is 1600 Saint Johns Blvd, Suite 201, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 747-8500.

Mr Marc Nicoloff is licensed to practice in Minnesota (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619115458.

Contact Information

Mr Marc Nicoloff, PA-C
1600 Saint Johns Blvd, Suite 201,
Maplewood, MN 55109-1183
(651) 747-8500
(651) 747-8501

Map and Direction




Provider's Profile

Full NameMr Marc Nicoloff
GenderMale
SpecialityPhysician Assistant
Location1600 Saint Johns Blvd, Maplewood, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619115458
  • Provider Enumeration Date: 02/02/2009
  • Last Update Date: 03/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729127337
  • Enrollment ID: I20091119000670

Medical Identifiers

Medical identifiers for Mr Marc Nicoloff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619115458NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (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. Mr Marc Nicoloff allows following entities to bill medicare on his behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Mr Marc Nicoloff 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 AddressPractice Location Address
Mr Marc Nicoloff, PA-C
225 Smith Ave N, Suite 300,
Saint Paul, MN 55102-2533

Ph: (651) 726-6200		Mr Marc Nicoloff, PA-C
1600 Saint Johns Blvd, Suite 201,
Maplewood, MN 55109-1183

Ph: (651) 747-8500

Reviews and Comments


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Jennifer P Kipp, PA
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Practice Location: 1575 Beam Ave, Maplewood, MN 55109
Phone: 651-232-7348    Fax: 651-232-6665

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.