Dr Jeffrey Scott Nicklas, MD | |
1044 Belmont Ave, Youngstown, OH 44504-1006 | |
(330) 480-3658 | |
(330) 286-5396 |
Full Name | Dr Jeffrey Scott Nicklas |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 1044 Belmont Ave, Youngstown, 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 |
---|---|---|---|
1295925535 | NPI | - | NPPES |
4119641 | Other | OH | MEDICARE PTAN |
11176372 | Other | CAQH | |
0056821 | Medicaid | OH | |
227307 | Other | PA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MT190045 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | MD443825 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | 35.066875 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mh St Joseph Warren Hospital | Warren, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bel-park Anesthesia Associates, Inc. | 8628974904 | 129 |
Bel-park Anesthesia Associates, Inc. | 8628974904 | 129 |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Entity Name | Bel-park Anesthesia Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20200902001515 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Scott Nicklas, MD 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Dr Jeffrey Scott Nicklas, MD 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 480-3658 |
Dr. Charles Daniel Cammock, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
James A Bachmeier, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Bijo Jos Thomas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Frederick A. Peachman, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Yvette R Walker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-1000 | |
Dr. Heather C Eck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 Fax: 330-286-5396 | |
Dr. Raymond George Malackany, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 |