Dr Kimberly Marie Nicol, DO in Detroit, MI

Dr Kimberly Marie Nicol, DO is a medicare enrolled "Anesthesiology" physician in Detroit, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Henry Ford Medical Group, Henry Ford West Bloomfield Hospital and her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 704-8419.

Dr Kimberly Marie Nicol is licensed to practice in Michigan (license number 5101019270) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316236342.

Contact Information

	Dr Kimberly Marie Nicol, DO
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 704-8419
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Marie Nicol
Gender	Female
Speciality	Anesthesiology
Experience	13 Years
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Marie Nicol attended and graduated from Michigan State University College Of Osteopathic Medicine in 2011

NPI Data:

NPI Number: 1316236342
Provider Enumeration Date: 03/30/2011
Last Update Date: 10/09/2017

Medicare PECOS Information:

PECOS PAC ID: 0840422515
Enrollment ID: I20160801001019

Medical Identifiers

Medical identifiers for Dr Kimberly Marie Nicol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316236342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	5101019270 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124
Henry Ford West Bloomfield Hospital	2264589449	91

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 Kimberly Marie Nicol allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300

Entity Name	Henry Ford West Bloomfield Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176

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 Kimberly Marie Nicol 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 Kimberly Marie Nicol, DO 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: () -	Dr Kimberly Marie Nicol, DO 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 704-8419

Reviews and Comments

Anesthesiology Doctors in Detroit, MI

Mousab Eteer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568
Chisaokwu Duru, Anesthesiology Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233
Dr. Puja Laroia, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-5146
Dr. Daniel S Rana, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000
Dr. Samir F Fuleihan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521
Dr. Srilatha Mallu, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-4872
Muthuvasuki Veerappan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 7733 E Jefferson Ave, Detroit, MI 48214 Phone: 313-499-4254

Dr Kimberly Marie Nicol, DO - Medicare Anesthesiology in Detroit, MI