Dr Charles D Nicolais, MD in Fayetteville, NY - Medicare Interventional Cardiology

Dr Charles D Nicolais, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Fayetteville, New York. He went to George Washington University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice St Josephs Medical Pc and his current practice location is 4000 Medical Center Drive, Fayetteville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 744-1570.

Dr Charles D Nicolais is licensed to practice in New York (license number 308533-01) 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 1649533746.

Contact Information

	Dr Charles D Nicolais, MD
	4000 Medical Center Drive, Fayetteville, NY 13202
	(315) 744-1570
	(315) 744-1940

Map and Direction

Physician's Profile

Full Name	Dr Charles D Nicolais
Gender	Male
Speciality	Interventional Cardiology
Experience	12 Years
Location	4000 Medical Center Drive, Fayetteville, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charles D Nicolais attended and graduated from George Washington University School Of Medicine in 2012

NPI Data:

NPI Number: 1649533746
Provider Enumeration Date: 06/22/2012
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4880915529
Enrollment ID: I20210622001091

Medical Identifiers

Medical identifiers for Dr Charles D Nicolais such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649533746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD454351 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	308533-01 (New York)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	308533-01 (New York)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	308533-01 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Hospital Health Center	Syracuse, NY	Hospital
Samaritan Medical Center	Watertown, NY	Hospital
Auburn Community Hospital	Auburn, NY	Hospital
Guthrie Cortland Regional Medical Center	Cortland, NY	Hospital
Oswego Hospital	Oswego, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Pc	4688855844	300

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. Dr Charles D Nicolais allows following entities to bill medicare on his behalf.

Entity Name	St Josephs Hospital Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Dr Charles D Nicolais 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
Dr Charles D Nicolais, MD 4000 Medical Center Dr, Fayetteville, NY 13066 Ph: (315) 744-1570	Dr Charles D Nicolais, MD 4000 Medical Center Drive, Fayetteville, NY 13202 Ph: (315) 744-1570

Reviews and Comments

Internal Medicine Doctors in Fayetteville, NY

Christopher A Nardone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4507 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0514
Dr. Mary Lily Allen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8011 Summerview Dr, Fayetteville, NY 13066 Phone: 315-637-9271
Anton D Joachimpillai, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Maple Dr, Fayetteville, NY 13066 Phone: 315-682-4593
Vadjista Broumand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 Medical Center Dr, Suite 110, Fayetteville, NY 13066 Phone: 315-663-0100 Fax: 315-663-0052
Amr Shady, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-627-0448
Dr. Susan Mary Manson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-627-0448 Fax: 315-627-0554
Dr. Daniel Leon Harris, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14 Wheeler Ave, Fayetteville, NY 13066 Phone: 315-637-9067

Dr Charles D Nicolais, MD - Medicare Interventional Cardiology in Fayetteville, NY