Timothy P Nickell, PAC - Medicare Physician Assistant in Rice Lake, WI

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Timothy P Nickell, PAC is a medicare enrolled "Physician Assistant" in Rice Lake, Wisconsin. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mayo Clinic Health System-northwest Wisconsin Region Inc, Lakeview Medical Center Inc Of Rice Lake and his current practice location is 331 S Main St, Rice Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 236-8500.

Timothy P Nickell is licensed to practice in Wisconsin (license number 2892) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346516044.

Contact Information

Timothy P Nickell, PAC
331 S Main St,
Rice Lake, WI 54868-2253
(715) 236-8500
Not Available

Map and Direction




Provider's Profile

Full NameTimothy P Nickell
GenderMale
SpecialityPhysician Assistant
Experience15 Years
Location331 S Main St, Rice Lake, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy P Nickell graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1346516044
  • Provider Enumeration Date: 03/27/2012
  • Last Update Date: 02/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921260985
  • Enrollment ID: I20120509000050

Medical Identifiers

Medical identifiers for Timothy P Nickell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346516044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2892 (Wisconsin)Primary
363AM0700XPhysician Assistant - Medical 2892-23 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marshfield Medical Center - Rice LakeRice lake, WIHome health agency
Mayo Clinic Health System-northlandBarron, WIHospital
Mayo Clinic Health System In Eau ClaireEau claire, WIHospital
Mayo Clinic Health System-chippewa ValleyBloomer, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-northwest Wisconsin Region Inc4385553627797
Lakeview Medical Center Inc Of Rice Lake6103737820168

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. Timothy P Nickell allows following entities to bill medicare on his behalf.
Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740239557
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000112

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. Timothy P Nickell 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
Timothy P Nickell, PAC
200 1st St Sw,
Rochester, MN 55905-0001

Ph: (715) 838-5222		Timothy P Nickell, PAC
331 S Main St,
Rice Lake, WI 54868-2253

Ph: (715) 236-8500

Reviews and Comments


Physician Assistant Nurses in Rice Lake, WI

Mrs. Lindsey Marie Moravchik, PA
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Practice Location: 1700 W Stout St, Rice Lake, WI 54868
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Bryan K Hudson, PA-C
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Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8104    
Sarah Tomesh, PAC
Physician Assistant
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Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    
Mr. Jared Richard Sherman, PA-C
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Medicare: Medicare Enrolled
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    
Mrs. Ashley Jo Mcwalter, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    
Anthony D Bergmann, PAC
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Medicare: Not Enrolled in Medicare
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    
Janaan M. Duellman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    

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.