Dr Coral D Nicholas, is a medicare enrolled "General Practice" physician in Rome, New York. Her current practice location is
1316 Black River Blvd N, Rome, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 336-3353.
Dr Coral D Nicholas is licensed to practice in New York (license number 203978-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184695884.
Physician's Profile
Full Name | Dr Coral D Nicholas |
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Gender | Female |
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Speciality | General Practice |
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Location | 1316 Black River Blvd N, Rome, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184695884
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 08/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153358080
- Enrollment ID: I20050722000357
Medical Identifiers
Medical identifiers for Dr Coral D Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184695884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 203978-1 (New York) | Primary |
207L00000X | Anesthesiology | 203978-1 (New York) | Secondary |
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 Coral D Nicholas allows following entities to bill medicare on her behalf.
Entity Name | Mohammed Seedat Md And Coral Nicholas Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851564942 PECOS PAC ID: 7517973050 Enrollment ID: O20060221000803 |
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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. Dr Coral D Nicholas 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 Coral D Nicholas, 1316 Black River Blvd N, Rome, NY 13440-3601 Ph: (315) 336-3353 | Dr Coral D Nicholas, 1316 Black River Blvd N, Rome, NY 13440-3601 Ph: (315) 336-3353 |
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