Jillian Bielicki, PA-S - Medicare Physician Assistant in Wyoming, MN

Jillian Bielicki, PA-S is a medicare enrolled "Physician Assistant" physician in Wyoming, Minnesota. Her current practice location is 5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 982-7000.

Jillian Bielicki is licensed to practice in Minnesota (license number 14802) 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 1225760572.

Contact Information

Jillian Bielicki, PA-S
5200 Fairview Blvd,
Wyoming, MN 55092-8013
(651) 982-7000
Not Available



Physician's Profile

Full NameJillian Bielicki
GenderFemale
SpecialityPhysician Assistant
Location5200 Fairview Blvd, Wyoming, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225760572
  • Provider Enumeration Date: 06/27/2022
  • Last Update Date: 02/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133563752
  • Enrollment ID: I20240221004133

Medical Identifiers

Medical identifiers for Jillian Bielicki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225760572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 1225760572 (Minnesota)Secondary
363A00000XPhysician Assistant 14802 (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. Jillian Bielicki 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
Jillian Bielicki, PA-S
1200 Kenwood Ave,
Duluth, MN 55811-4199

Ph: (218) 723-6289
Jillian Bielicki, PA-S
5200 Fairview Blvd,
Wyoming, MN 55092-8013

Ph: (651) 982-7000

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