Nicole Anne Bemmels Carlson, MSPA is a medicare enrolled "Physician Assistant" in St. Luois Park, Minnesota. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Park Nicollet Clinic and her current practice location is
6500 Excelsior, Park Nicollet Heart And Vascular Center, St. Luois Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 423-9088.
Nicole Anne Bemmels Carlson is licensed to practice in Minnesota (license number 9899) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700820883.
Provider's Profile
| Full Name | Nicole Anne Bemmels Carlson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 6500 Excelsior, St. Luois Park, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Anne Bemmels Carlson graduated from nursing school in 2004
NPI Data:
- NPI Number: 1700820883
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 01/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 1052378841
- Enrollment ID: I20041214000083
Medical Identifiers
Medical identifiers for Nicole Anne Bemmels Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700820883 | NPI | - | NPPES |
| 41995800 | Medicaid | WI | |
| 01-06279 | Other | MN | MEDICA PRIMARY |
| 2230947 | Other | MN | ARAZ |
| 616R8BE | Other | MN | BCBS |
| 01-19215 | Other | MN | MEDICA CHOICE |
| 132339 | Other | MN | UCARE |
| B018 | Other | MN | CHAMPUS/TRIWEST |
| 916427800 | Medicaid | MN | |
| 1042013 | Other | MN | PREFERRED ONE |
| HP46702 | Other | MN | HEALTHPARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 9899 (Minnesota) | Primary |
| 363AM0700X | Physician Assistant - Medical | 9899 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
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. Nicole Anne Bemmels Carlson 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 |
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Nicole Anne Bemmels Carlson, MSPA
6500 Excelsior Blvd., Park Nicollet Heart And Vascular Center,
St. Louis Park, MN 55426
Ph: (612) 624-0123 | Nicole Anne Bemmels Carlson, MSPA
6500 Excelsior, Park Nicollet Heart And Vascular Center,
St. Luois Park, MN 55426
Ph: (612) 423-9088 |
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