Nicholle Co Nacionales, PA-C - Medicare Physician Assistant in Plymouth, MN

Nicholle Co Nacionales, PA-C is a medicare enrolled "Physician Assistant" in Plymouth, Minnesota. Her current practice location is 4645 Trenton Cir N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 234-7928.

Nicholle Co Nacionales is licensed to practice in Minnesota (license number 14764) 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 1467120451.

Contact Information

Nicholle Co Nacionales, PA-C
4645 Trenton Cir N,
Plymouth, MN 55442-3146
(763) 234-7928
Not Available



Provider's Profile

Full NameNicholle Co Nacionales
GenderFemale
SpecialityPhysician Assistant
Location4645 Trenton Cir N, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467120451
  • Provider Enumeration Date: 09/02/2021
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183076615
  • Enrollment ID: I20240119001803

Medical Identifiers

Medical identifiers for Nicholle Co Nacionales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467120451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363A00000XPhysician Assistant 14764 (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. Nicholle Co Nacionales 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
Nicholle Co Nacionales, PA-C
4645 Trenton Cir N,
Plymouth, MN 55442-3146

Ph: (763) 234-7928
Nicholle Co Nacionales, PA-C
4645 Trenton Cir N,
Plymouth, MN 55442-3146

Ph: (763) 234-7928

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