Nicole Ann Raicik, PA-C - Medicare Physician Assistant in Jasper, AL

Nicole Ann Raicik, PA-C is a medicare enrolled "Physician Assistant" in Jasper, Alabama. Her current practice location is 3400 Highway 78 E, Jasper, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 387-4000.

Nicole Ann Raicik is licensed to practice in Alabama (license number PA.2299) 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 1255192035.

Contact Information

Nicole Ann Raicik, PA-C
3400 Highway 78 E,
Jasper, AL 35501-8956
(205) 387-4000
Not Available



Provider's Profile

Full NameNicole Ann Raicik
GenderFemale
SpecialityPhysician Assistant
Location3400 Highway 78 E, Jasper, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255192035
  • Provider Enumeration Date: 01/19/2024
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062855885
  • Enrollment ID: I20240208003159

Medical Identifiers

Medical identifiers for Nicole Ann Raicik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255192035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA.2299 (Alabama)Secondary
363AS0400XPhysician Assistant - Surgical PA.2299 (Alabama)Secondary
363A00000XPhysician Assistant PA.2299 (Alabama)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. Nicole Ann Raicik 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
Nicole Ann Raicik, PA-C
3550 Grandview Pkwy Apt 223,
Birmingham, AL 35243-1988

Ph: (678) 756-1303
Nicole Ann Raicik, PA-C
3400 Highway 78 E,
Jasper, AL 35501-8956

Ph: (205) 387-4000

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Physician Assistant Nurses in Jasper, AL

Mr. Bradley Michael Noland, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2950 Highway 78 E, Jasper, AL 35501
Phone: 205-385-0876    
Darcy Matthews Mosley I, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2950 Highway 78 E, Jasper, AL 35501
Phone: 205-221-5374    Fax: 205-385-0382
Bruce Campbell Mcfadden, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Highway 78 E, Jasper, AL 35501
Phone: 205-387-4187    Fax: 205-387-4727
Anna Henderson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3400 Highway 78 E, Jasper, AL 35501
Phone: 205-387-4000    
Peyton Warner Jones,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2950 Highway 78 E, Jasper, AL 35501
Phone: 205-221-5374    
Christian John Fields, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3400 Highway 78 E, Jasper, AL 35501
Phone: 205-387-4000    

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