| Nicholas Jason Delich, | |
|
1101 9th St N, Virginia, MN 55792-2329 | |
| (218) 741-0150 | |
| Not Available |
| Full Name | Nicholas Jason Delich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1101 9th St N, Virginia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932209673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 895 (Minnesota) | Primary |
| Entity Name | Northern Pines Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Jason Delich, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 | Nicholas Jason Delich, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 |
Gidget Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |
Nancy Lee Magnine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |
Zachary B Horoshak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Virginia, MN 55792 Phone: 218-741-3340 |
Lisa Ann Huyck, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 Fax: 218-741-7892 |
Dr. Michael Asamoah Nkrumah, PHARM D, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000 Fax: 218-749-7844 |
Margaret Waechter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |
Jessica Lahti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 |