Dr Douglas John Nicholson, DO in Coeur D Alene, ID

Dr Douglas John Nicholson, DO is a medicare enrolled "Family Medicine" physician in Coeur D Alene, Idaho. His current practice location is 315 W Dalton Ave Ste B, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 209-2066.

Dr Douglas John Nicholson is licensed to practice in Idaho (license number O-310) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538233796.

Contact Information

	Dr Douglas John Nicholson, DO
	315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600
	(208) 209-2066
	(208) 262-2076

Map and Direction

Physician's Profile

Full Name	Dr Douglas John Nicholson
Gender	Male
Speciality	Family Medicine
Location	315 W Dalton Ave Ste B, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538233796
Provider Enumeration Date: 11/20/2006
Last Update Date: 05/02/2019

Medicare PECOS Information:

PECOS PAC ID: 1355339136
Enrollment ID: I20201008003525

Medical Identifiers

Medical identifiers for Dr Douglas John Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538233796	NPI	-	NPPES
1538233796	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	O-310 (Idaho)	Primary

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 Douglas John Nicholson allows following entities to bill medicare on his behalf.

Entity Name	State Of Montana
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356351183 PECOS PAC ID: 3870499676 Enrollment ID: O20031211000579

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 Douglas John 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
Dr Douglas John Nicholson, DO 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300	Dr Douglas John Nicholson, DO 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815-8600 Ph: (208) 209-2066

Reviews and Comments

Family Medicine Doctors in Coeur D Alene, ID

Erica Magers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501
Dr. Stephen Paul Smiley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288 Fax: 208-209-0289
Heidi A Herold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076
Ryan John Gilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Dr. Matthew C. Bean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Alanna Caitlin Russo, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Crystal Lee Pyrak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001

Dr Douglas John Nicholson, DO - Medicare Family Medicine in Coeur D Alene, ID