Adam Foster Nicholson, MD is a medicare enrolled "Urology" physician in Grand Forks, North Dakota. He went to Tulane University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Urology. He is a member of the group practice Altru Health System and his current practice location is
4440 S Washington St - Altru Professional Center, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 732-7000.
Adam Foster Nicholson is licensed to practice in North Dakota (license number 12119) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063619237.
Physician's Profile
| Full Name | Adam Foster Nicholson |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 20 Years |
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| Location | 4440 S Washington St - Altru Professional Center, Grand Forks, North Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Adam Foster Nicholson attended and graduated from Tulane University School Of Medicine in 2005
NPI Data:
- NPI Number: 1063619237
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 09/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608055942
- Enrollment ID: I20150210000709
Medical Identifiers
Medical identifiers for Adam Foster Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063619237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 49436 (Minnesota) | Secondary |
| 208800000X | Urology | 21482 (Mississippi) | Secondary |
| 208800000X | Urology | 12119 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Altru Health System | 1355251604 | 520 |
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. Adam Foster Nicholson allows following entities to bill medicare on his behalf.
| Entity Name | Altru Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760494330
PECOS PAC ID: 1355251604
Enrollment ID: O20031110000135 |
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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. Adam Foster Nicholson 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 Address | Practice Location Address |
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Adam Foster Nicholson, MD
2401 Demers Ave,
Grand Forks, ND 58201
Ph: (701) 780-1891 | Adam Foster Nicholson, MD
4440 S Washington St - Altru Professional Center,
Grand Forks, ND 58201
Ph: (701) 732-7000 |
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