Dr Nicholas Lee Nussbaum, MD is a medicare enrolled "Family Medicine" physician in Monroe, Indiana. He went to Indiana University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adams County Memorial Hospital and his current practice location is
205 Tower Dr, Monroe, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 692-6163.
Dr Nicholas Lee Nussbaum is licensed to practice in Indiana (license number 01063067A) 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 1720107824.
Physician's Profile
| Full Name | Dr Nicholas Lee Nussbaum |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 205 Tower Dr, Monroe, Indiana |
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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 Nicholas Lee Nussbaum attended and graduated from Indiana University School Of Medicine in 2005
NPI Data:
- NPI Number: 1720107824
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 01/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830262070
- Enrollment ID: I20080721000535
Medical Identifiers
Medical identifiers for Dr Nicholas Lee Nussbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720107824 | NPI | - | NPPES |
| 200970670 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 01063067A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adams County Memorial Hospital | 0941198253 | 67 |
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 Nicholas Lee Nussbaum allows following entities to bill medicare on his behalf.
| Entity Name | Adams County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326 |
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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 Nicholas Lee Nussbaum 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 |
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Dr Nicholas Lee Nussbaum, MD
205 Tower Dr,
Monroe, IN 46772-9362
Ph: (260) 692-6163 | Dr Nicholas Lee Nussbaum, MD
205 Tower Dr,
Monroe, IN 46772-9362
Ph: (260) 692-6163 |
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