Liem Nguyen Nickelson, AA - Medicare Anesthesiology Assistant in Saint Louis, MO

Liem Nguyen Nickelson, AA is a medicare enrolled "Anesthesiologist Assistant" in Saint Louis, Missouri. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Ssm Health Slu Hospital Anesthesia Physician Billing Llc and her current practice location is 3635 Vista Ave, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 577-8000.

Liem Nguyen Nickelson is licensed to practice in Missouri (license number 2011030647) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760764138.

Contact Information

Liem Nguyen Nickelson, AA
3635 Vista Ave,
Saint Louis, MO 63110-2539
(314) 577-8000
Not Available



Provider's Profile

Full NameLiem Nguyen Nickelson
GenderFemale
SpecialityAnesthesiology Assistant
Experience13 Years
Location3635 Vista Ave, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Liem Nguyen Nickelson graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1760764138
  • Provider Enumeration Date: 09/12/2011
  • Last Update Date: 02/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8426225467
  • Enrollment ID: I20120117000105

Medical Identifiers

Medical identifiers for Liem Nguyen Nickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760764138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 2011030647 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Louis University HospitalSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Slu Hospital Anesthesia Physician Billing Llc327484233177

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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. Liem Nguyen Nickelson allows following entities to bill medicare on her behalf.
Entity NameSsm Health Slu Hospital Anesthesia Physician Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407232804
PECOS PAC ID: 3274842331
Enrollment ID: O20151013000437

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Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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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. Liem Nguyen Nickelson 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
Liem Nguyen Nickelson, AA
3635 Vista Ave,
Saint Louis, MO 63110-2539

Ph: (813) 493-0402
Liem Nguyen Nickelson, AA
3635 Vista Ave,
Saint Louis, MO 63110-2539

Ph: (314) 577-8000

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Anesthesiologist Assistant Nurses in Saint Louis, MO

Jeremy Stephen Colyer, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128
Phone: 636-386-7222    Fax: 636-200-4036
Mrs. Maria Jones, C-AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141
Phone: 636-386-9224    Fax: 636-200-4243
Alexander Sextro, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136
Phone: 314-653-5000    
Alexis Haas Stewart,
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104
Phone: 314-977-5700    
Mr. Brian J Ho, A.A.
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 615 S New Ballas Rd, Dept. Of Anesthesiology, Saint Louis, MO 63141
Phone: 314-251-4687    Fax: 636-200-4243
Laheart Marie Rodney, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104
Phone: 314-268-7267    
Mr. Nick Balarama Rodriguez, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141
Phone: 636-386-9224    Fax: 636-386-7679

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