Dr Larry Thomas Nickell Jr, MD in Albany, NY - Medicare Diagnostic Radiology

Dr Larry Thomas Nickell Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Albany, New York. He went to University Of Texas Medical School At Houston and graduated in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Boulder Radiologists Inc P C and his current practice location is 315 South Manning Blvd, Albany, New York. You can reach out to his office (for appointments etc.) via phone at (518) 525-1401.

Dr Larry Thomas Nickell Jr is licensed to practice in New York (license number 308425) 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 1669797346.

Contact Information

	Dr Larry Thomas Nickell Jr, MD
	315 South Manning Blvd, Albany, NY 12208-6819
	(518) 525-1401
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Larry Thomas Nickell Jr
Gender	Male
Speciality	Diagnostic Radiology
Experience	14 Years
Location	315 South Manning Blvd, Albany, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Larry Thomas Nickell Jr attended and graduated from University Of Texas Medical School At Houston in 2010

NPI Data:

NPI Number: 1669797346
Provider Enumeration Date: 04/06/2010
Last Update Date: 05/19/2021

Medicare PECOS Information:

PECOS PAC ID: 0840592093
Enrollment ID: I20160816002509

Medical Identifiers

Medical identifiers for Dr Larry Thomas Nickell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669797346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	DR.0056434 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	308425 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	308425 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boulder Community Health	Boulder, CO	Hospital
University Of Colorado Hospital Authority	Aurora, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boulder Radiologists Inc P C	4183510274	13

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 Larry Thomas Nickell Jr allows following entities to bill medicare on his behalf.

Entity Name	Boulder Radiologists Inc P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891756813 PECOS PAC ID: 4183510274 Enrollment ID: O20040225000774

Entity Name	Mountain Radiology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20040330001831

Entity Name	Colorado Springs Radiologists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629168406 PECOS PAC ID: 6901890094 Enrollment ID: O20040412001373

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 Larry Thomas Nickell 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 Larry Thomas Nickell Jr, MD Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634	Dr Larry Thomas Nickell Jr, MD 315 South Manning Blvd, Albany, NY 12208-6819 Ph: (518) 525-1401

Reviews and Comments

Radiology Doctors in Albany, NY

Robert A Belgam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Stratton Va Medical Center, Albany, NY 12208 Phone: 518-626-6650 Fax: 518-626-6644
Mr. Sreenivas Garla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Radiology Dept, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210
David Jahangir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401
Dr. S Rao Aravapalli, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 47 New Scotland Ave, Dept. Of Radiology, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210
Dr. Heidi Dambach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-3277
Dr. Sheil Shah, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401
Justin John Hungerford, MD Radiology Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210

Dr Larry Thomas Nickell Jr, MD - Medicare Diagnostic Radiology in Albany, NY