Dr Gerald L Nickerson Jr, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Venice, Florida. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Restore Medical Partners Pllc, Nokomis Physical Therapy Llc and his current practice location is
333 Tamiami Trl S Ste 101, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 375-3006.
Dr Gerald L Nickerson Jr is licensed to practice in Florida (license number ME95990) 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 1932127768.
Physician's Profile
| Full Name | Dr Gerald L Nickerson Jr |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 42 Years |
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| Location | 333 Tamiami Trl S Ste 101, Venice, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gerald L Nickerson Jr graduated from medical school in 1982
NPI Data:
- NPI Number: 1932127768
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214026012
- Enrollment ID: I20071201000102
Medical Identifiers
Medical identifiers for Dr Gerald L Nickerson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932127768 | NPI | - | NPPES |
| 1999989 | Medicaid | LA | |
| 277901300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | ME95990 (Florida) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 11047R (Louisiana) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 11047R (Louisiana) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME95990 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Restore Medical Partners Pllc | 1951682426 | 12 |
| Nokomis Physical Therapy Llc | 8628240843 | 41 |
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 Gerald L Nickerson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Restore Medical Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891148250
PECOS PAC ID: 1951682426
Enrollment ID: O20161227000510 |
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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 Gerald L Nickerson Jr 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 Gerald L Nickerson Jr, MD
280 Villoresi Blvd,
Nokomis, FL 34275-1987
Ph: (337) 257-4454 | Dr Gerald L Nickerson Jr, MD
333 Tamiami Trl S Ste 101,
Venice, FL 34285
Ph: (941) 375-3006 |
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