Dr Nicholas Walter Detore, MD in Mentor, OH - Medicare Internal Medicine

Dr Nicholas Walter Detore, MD is a medicare enrolled "Internal Medicine" physician in Mentor, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lake Hospital System, Inc. and his current practice location is 9485 Mentor Ave, Suite 210, Mentor, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 205-5892.

Dr Nicholas Walter Detore is licensed to practice in Ohio (license number 35.098967) 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 1942438197.

Contact Information

	Dr Nicholas Walter Detore, MD
	9485 Mentor Ave, Suite 210, Mentor, OH 44060-4597
	(440) 205-5892
	(440) 205-5744

Map and Direction

Physician's Profile

Full Name	Dr Nicholas Walter Detore
Gender	Male
Speciality	Internal Medicine
Experience	15 Years
Location	9485 Mentor Ave, Mentor, 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.

Medical Education and Training:

Dr Nicholas Walter Detore attended and graduated from Northeastern Ohio University College Of Medicine in 2009

NPI Data:

NPI Number: 1942438197
Provider Enumeration Date: 06/26/2009
Last Update Date: 03/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8527223981
Enrollment ID: I20120710000303

Medical Identifiers

Medical identifiers for Dr Nicholas Walter Detore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942438197	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35.098967 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caretenders	Beachwood, OH	Home health agency
University Hospital Home Care Services, Inc	Warrensville hts, OH	Home health agency
Always Best Care Cleveland South	Brook park, OH	Home health agency
Lake Health	Concord, OH	Hospital
University Hospitals Of Cleveland	Cleveland, OH	Hospital
Hillcrest Hospital	Mayfield heights, OH	Hospital
Concord Village Skilled Nursing & Rehabilitation	Concord, OH	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Hospital System, Inc.	6002713922	137

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 Walter Detore allows following entities to bill medicare on his behalf.

Entity Name	Lake Hospital System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963

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 Walter Detore 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 Walter Detore, MD 9485 Mentor Ave, Suite 210, Mentor, OH 44060-4597 Ph: (440) 205-5892	Dr Nicholas Walter Detore, MD 9485 Mentor Ave, Suite 210, Mentor, OH 44060-4597 Ph: (440) 205-5892

Reviews and Comments

Internal Medicine Doctors in Mentor, OH

Dr. Olusegun Ademola Ogunlesi, M.D, M.H.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8587 East Avenue, Mentor, OH 44060 Phone: 440-867-4800 Fax: 866-711-5107
Shermeen Taj Farukhi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9485 Mentor Ave Ste 210, Mentor, OH 44060 Phone: 440-205-5836 Fax: 440-205-5735
Dr. Keith Alan Friedenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8877 Mentor Ave, Mentor, OH 44060 Phone: 440-205-1225 Fax: 440-205-1275
Dr. Aaron E Feldman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7200 Mentor Ave, Mentor, OH 44060 Phone: 440-942-5400 Fax: 440-942-9055
Dr. David Alan Bowe, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7956 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-4455 Fax: 440-255-4487
Dr. Brian Edward Burtch, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Tyler Blvd, Suite 102, Mentor, OH 44060 Phone: 216-266-5000
Ahmad Ascha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9500 Mentor Ave, Suite 340, Mentor, OH 44060 Phone: 440-352-9400 Fax: 440-352-9407

Dr Nicholas Walter Detore, MD - Medicare Internal Medicine in Mentor, OH