Emily Nicole Hicke, PA in Coon Rapids, MN - Medicare Physician Assistant

Emily Nicole Hicke, PA is a medicare enrolled "Physician Assistant" physician in Coon Rapids, Minnesota. Her current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-9155.

Emily Nicole Hicke is licensed to practice in Minnesota (license number 14273) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083323190.

Contact Information

	Emily Nicole Hicke, PA
	9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841
	(763) 780-9155
	Not Available

Physician's Profile

Full Name	Emily Nicole Hicke
Gender	Female
Speciality	Physician Assistant
Location	9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083323190
Provider Enumeration Date: 11/17/2022
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0042680274
Enrollment ID: I20230105000524

Medical Identifiers

Medical identifiers for Emily Nicole Hicke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083323190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	14273 (Minnesota)	Secondary
363AM0700X	Physician Assistant - Medical	14273 (Minnesota)	Secondary
363A00000X	Physician Assistant	14273 (Minnesota)	Primary

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. Emily Nicole Hicke 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
Emily Nicole Hicke, PA 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Emily Nicole Hicke, PA 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155

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Emily Nicole Hicke, PA - Medicare Physician Assistant in Coon Rapids, MN