Dr Nicholas Matthew Thomas-bock, DO is a medicare enrolled "Radiology - Pediatric Radiology" physician in Peninsula, Ohio. His current practice location is
6039 Ledgeview Dr, Peninsula, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 418-2603.
Dr Nicholas Matthew Thomas-bock is licensed to practice in Ohio (license number 34.015123) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902285117.
Physician's Profile
Full Name | Dr Nicholas Matthew Thomas-bock |
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Gender | Male |
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Speciality | Radiology - Pediatric Radiology |
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Location | 6039 Ledgeview Dr, Peninsula, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902285117
- Provider Enumeration Date: 05/20/2015
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375840937
- Enrollment ID: I20160324001938
Medical Identifiers
Medical identifiers for Dr Nicholas Matthew Thomas-bock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902285117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | DOC-037 (Guam) | Secondary |
2085P0229X | Radiology - Pediatric Radiology | 34.015123 (Ohio) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 34.015123 (Ohio) | Secondary |
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 Matthew Thomas-bock 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 Nicholas Matthew Thomas-bock, DO 6039 Ledgeview Dr, Peninsula, OH 44264-9540 Ph: (330) 418-2603 | Dr Nicholas Matthew Thomas-bock, DO 6039 Ledgeview Dr, Peninsula, OH 44264-9540 Ph: (330) 418-2603 |
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