Nicole T Manecke (NPI# 1821180712, PAC ID# 3971503806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821180712 |
| PAC ID by PECOS | 3971503806 |
| Professional Enrollment ID | I20061228000056 |
| Full Name | Nicole T Manecke |
| Organization Legal Name | DERMATOLOGY PROFESSIONALS, PA |
| Address |
15167 Edgewood Dr Suite 200 Brainerd MN 56401-6948 |
| Phone Number | 2184547546 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587753934 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241305 | RIVERWOOD HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13359 Isle Dr, Suite 3, Baxter, MN 56425-2223 | 2184547546 | DERMATOLOGY PROFESSIONALS, PA |
| 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 | 2184547546 | DERMATOLOGY PROFESSIONALS, PA |
| Organization Legal Name | DERMATOLOGY PROFESSIONALS, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah R White | Nurse Practitioner | Dermatology Professionals, Pa | 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 |
| Angela E Aakhus | Dermatology | Dermatology Professionals, Pa | 13359 Isle Dr, Suite 3, Baxter, MN 56425-2223 |
| Paul B Lundstrom | Dermatology | Dermatology Professionals, Pa | 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 |
| Whitney D Tope | Dermatology | Dermatology Professionals, Pa | 13359 Isle Dr, Suite 3, Baxter, MN 56425-2223 |
| Kristina Marie Britton | Dermatology | Dermatology Professionals, Pa | 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 |
| Street Address |
15167 EDGEWOOD DR SUITE 200 |
| City | BRAINERD |
| State | MN |
| Zip | 56401-6948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah R White | Nurse Practitioner | Dermatology Professionals, Pa | 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 |
| Paul B Lundstrom | Dermatology | Dermatology Professionals, Pa | 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 |
| Kristina Marie Britton | Dermatology | Dermatology Professionals, Pa | 15167 Edgewood Dr, Suite 200, Brainerd, MN 56401-6948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Lynch | Physical Therapy | Select Therapy Inc | 17192, Suite 371, Brainerd, MN 56401 |
| Melisa Palmer | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Aaron J Hokanson | Chiropractic | Select Life Chiropractic, Inc. | 429 8th Ave Ne, Brainerd, MN 56401-2806 |
| Lori Alice Gutierrez | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Melonee Ruhl | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Michael G Didier | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Ryan J Hokanson | Chiropractic | Select Life Chiropractic, Inc. | 429 8th Ave Ne, Brainerd, MN 56401-2806 |
| Erin S Swanson | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Kayla M Hagen | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Jennifer Josephine Didier | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Find all physicians in zip 56401 | |||
| City | BRAINERD |
| Zip Code | 56401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRAINERD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole T Manecke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.