Anna Elissa Nidecker, MD in Baltimore, MD - Medicare Diagnostic Radiology

Anna Elissa Nidecker, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Baltimore, Maryland. She went to Albany Medical College Of Union University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Permanente Medical Group Inc, Main Line Health Imaging, Lp, Radiology Associates Of The Main Line Pc and her current practice location is 600 North Wolfe St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 933-1340.

Anna Elissa Nidecker is licensed to practice in Maryland (license number D67430) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033388491.

Contact Information

	Anna Elissa Nidecker, MD
	600 North Wolfe St, Baltimore, MD 21264-2307
	(410) 933-1340
	Not Available

Map and Direction

Physician's Profile

Full Name	Anna Elissa Nidecker
Gender	Female
Speciality	Diagnostic Radiology
Experience	21 Years
Location	600 North Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Anna Elissa Nidecker attended and graduated from Albany Medical College Of Union University in 2003

NPI Data:

NPI Number: 1033388491
Provider Enumeration Date: 02/29/2008
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8527108000
Enrollment ID: I20110804000337

Medical Identifiers

Medical identifiers for Anna Elissa Nidecker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033388491	NPI	-	NPPES
D0067430	Medicaid	MD
418574900	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	D67430 (Maryland)	Primary
2085R0202X	Radiology - Diagnostic Radiology	MD600003312 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Paoli Hospital	Paoli, PA	Hospital
Main Line Hospital Lankenau	Wynnewood, PA	Hospital
Bryn Mawr Hospital	Bryn mawr, PA	Hospital
Riddle Memorial Hospital	Media, PA	Hospital
Kaiser Foundation Hospital - Sacramento	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376
Main Line Health Imaging, Lp	7618867664	48
Radiology Associates Of The Main Line Pc	9931097193	62

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. Anna Elissa Nidecker allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Anna Elissa Nidecker 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
Anna Elissa Nidecker, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-1340	Anna Elissa Nidecker, MD 600 North Wolfe St, Baltimore, MD 21264-2307 Ph: (410) 933-1340

Reviews and Comments

Radiology Doctors in Baltimore, MD

Dr. Barun Aryal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3001 S Hanover St, Dept Of Internal Medicine, Baltimore, MD 21225 Phone: 410-350-3565 Fax: 410-354-0186
Imran Ahmed, D.O Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201 Phone: 410-328-3477
Philip Reed Wills Mcdonagh Iii, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6080
Michael Goldman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 Saint Paul Pl, Radiology Dept, Baltimore, MD 21202 Phone: 410-332-9266 Fax: 410-545-4255
Dr. Jeffrey R. Galvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201 Phone: 410-328-3477
Martin Auster, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0214
Amy K Pepperney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7253 Ambassador Rd, Baltimore, MD 21244 Phone: 443-436-1151 Fax: 443-436-1256

Anna Elissa Nidecker, MD - Medicare Diagnostic Radiology in Baltimore, MD