| Timothy P Nickell, PAC | |
|
331 S Main St, Rice Lake, WI 54868-2253 | |
| (715) 236-8500 | |
| Not Available |
| Full Name | Timothy P Nickell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 331 S Main St, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346516044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2892-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 2892 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Medical Ctr Home Care | Rice lake, WI | Home health agency |
| Mayo Clinic Health System-northland | Barron, WI | Hospital |
| Mayo Clinic Health System Eau Claire Hospital | Eau claire, WI | Hospital |
| Hayward Area Memorial Hospital | Hayward, WI | Hospital |
| Mayo Clinic Health System Chippewa Valley | Bloomer, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 798 |
| Lakeview Medical Center Inc Of Rice Lake | 6103737820 | 166 |
| Mailing Address | Practice 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 |
Mrs. Lindsey Marie Moravchik, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Bryan K Hudson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8104 | |
Sarah Tomesh, PAC Physician Assistant Medicare: Accepting Medicare Assignments 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 Physician Assistant 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 | |
Margaret N Brucker, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |