Dr. Jeremy Robert Nicolarsen

MD | Pediatric Cardiology | Male

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Complete Profile:

Dr. Jeremy Robert Nicolarsen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Jeremy Robert Nicolarsen
Credential :	MD
Gender :	Male

Business Address:

Dr. Jeremy Robert Nicolarsen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2003 Kootenai Health Way Coeur D Alene, ID, 83814-6051 United States
Phone Number :	208-625-4000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1891946778
NPI Entity Type :	Individual
First Enrolment Date :	09 Oct, 2008
Last Updated On :	02 Oct, 2020

Medicare Participation:

Dr. Jeremy Robert Nicolarsen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3971746496
Medicare Enrollment ID :	I20160808002023
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of Chicago, Pritzker School Of Medicine
Graduation Year :	2007
Accepts Medicare?	Yes. Dr. Jeremy Robert Nicolarsen accepts medicare insurance.

Group Practice Association:

Dr. Jeremy Robert Nicolarsen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jeremy Robert Nicolarsen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Providence Health And Services Washington	0345139929	678	1200 E Columbia Ave Colville, WA - 991143354 Ph: 5096843701	Yes
Providence Health And Services Washington	0345139929	678	101 W 8th Ave Spokane, WA - 992042307	Yes
Providence Health And Services Washington	0345139929	678	701 Lewiston St Cottonwood, ID - 835229750 Ph: 2089623251	Yes
Providence Health And Services Washington	0345139929	678	700 S Main St Moscow, ID - 838433056 Ph: 2088824511	Yes
Providence Health And Services Mt	6608786306	287	500 W Broadway St Suite 320 Missoula, MT - 598024003 Ph: 4063295615	Yes
Providence Health And Services Mt	6608786306	287	500 W Broadway St 320 Int Heart Inst Of Mt Missoula, MT - 598024031 Ph: 4063295615	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeremy Robert Nicolarsen are as mentioned. Primary taxonomy code for Dr. Jeremy Robert Nicolarsen, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	M13579	ID

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2003 Kootenai Health Way Coeur D Alene, ID, 83814-6051 United States
Phone Number :	208-625-4000

Business Location:

Patients can refer following map for directions to Dr. Jeremy Robert Nicolarsen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.