Charles J Nicely, MD | |
3535 Olentangy River Rd, Columbus, OH 43214-3908 | |
(614) 566-4945 | |
(614) 263-1056 |
Full Name | Charles J Nicely |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 36 Years |
Location | 3535 Olentangy River Rd, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407858269 | NPI | - | NPPES |
0926136 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35.065134 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Grant Medical Center | Columbus, OH | Hospital |
Doctors Hospital | Columbus, OH | Hospital |
Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
Marion General Hospital | Marion, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Corpath Ltd | 7315989498 | 26 |
Entity Name | Corpath Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447243910 PECOS PAC ID: 7315989498 Enrollment ID: O20050531000172 |
Mailing Address | Practice Location Address |
---|---|
Charles J Nicely, MD Po Box 20452, Corpath Cred, Columbus, OH 43220-0452 Ph: (614) 457-8180 | Charles J Nicely, MD 3535 Olentangy River Rd, Columbus, OH 43214-3908 Ph: (614) 566-4945 |
Nicholas T Wongchaowart, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Dr. Andres Gustavo Madrigal, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2001 Polaris Pkwy, Columbus, OH 43240 Phone: 614-366-7015 Fax: 614-293-7013 | |
Dr. Leo Anthony Niemeier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Rmh Pathology Dept - Corpath, Columbus, OH 43214 Phone: 614-566-4945 Fax: 614-263-1056 | |
Aharon Gideon Freud, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-292-5905 Fax: 614-293-4715 | |
Dr. Wegahta Tesfay Weldemichael, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 | |
Dr. Allen Green Jr., MD Pathology Medicare: Medicare Enrolled Practice Location: 500 Thomas Ln Ste 3a, Columbus, OH 43214 Phone: 843-331-8330 | |
Dr. Iouri Ivanov, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-5905 Fax: 614-293-4715 |