Dr Jeremy Robert Nicolarsen, MD - Medicare Cardiovascular Disease (cardiology) in Coeur D Alene, ID

Dr Jeremy Robert Nicolarsen, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Coeur D Alene, Idaho. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Providence Health And Services Washington, Providence Health And Services Washington, Providence Health And Services Washington, Providence Health And Services Mt and his current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-4000.

Dr Jeremy Robert Nicolarsen is licensed to practice in Idaho (license number M13579) 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 1891946778.

Contact Information

Dr Jeremy Robert Nicolarsen, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051
(208) 625-4000
Not Available



Physician's Profile

Full NameDr Jeremy Robert Nicolarsen
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience17 Years
Location2003 Kootenai Health Way, Coeur D Alene, Idaho
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:
  • Dr Jeremy Robert Nicolarsen attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1891946778
  • Provider Enumeration Date: 10/09/2008
  • Last Update Date: 10/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971746496
  • Enrollment ID: I20160808002023

Medical Identifiers

Medical identifiers for Dr Jeremy Robert Nicolarsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891946778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology M13579 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WAHospital
Providence Holy Family HospitalSpokane, WAHospital
St. Patrick HospitalMissoula, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington0345139929687
Providence Health And Services Washington872925825647
Providence Health And Services Washington0345139929687
Providence Health And Services Mt6608786306272

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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. Dr Jeremy Robert Nicolarsen allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194099390
PECOS PAC ID: 0345139929
Enrollment ID: O20040311001453

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Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881907715
PECOS PAC ID: 8729258256
Enrollment ID: O20110819000034

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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. Dr Jeremy Robert Nicolarsen 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
Dr Jeremy Robert Nicolarsen, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-4000
Dr Jeremy Robert Nicolarsen, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-4000

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Pediatrics Doctors in Coeur D Alene, ID

Dr. Thomas R Rau, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Terence Earl Neff, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Dr. Brook Yuknis Lang, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-5185    Fax: 208-625-5892
Dr. Mary Jo Shaw, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Dr. Beth Ann Martin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-6446    Fax: 208-625-5931
Dr. Cheri Kathleen Savage,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Dr. Rene Chalom, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-5930    Fax: 208-625-5931

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