Dr Nicole Kulisek, MD - Medicare Pediatrics in Collegeville, PA

Dr Nicole Kulisek, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Collegeville, Pennsylvania. Her current practice location is 500 Arcola Rd, Collegeville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (646) 942-6148.

Dr Nicole Kulisek is licensed to practice in New York (license number 248629) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043374986.

Contact Information

Dr Nicole Kulisek, MD
500 Arcola Rd,
Collegeville, PA 19426-3982
(646) 942-6148
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicole Kulisek
GenderFemale
SpecialityPediatrics - Pediatric Gastroenterology
Location500 Arcola Rd, Collegeville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043374986
  • Provider Enumeration Date: 12/21/2006
  • Last Update Date: 01/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0143483412
  • Enrollment ID: I20120524000062

Medical Identifiers

Medical identifiers for Dr Nicole Kulisek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043374986NPI-NPPES
03437845MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 249629 (New York)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 248629 (New York)Primary

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 Nicole Kulisek allows following entities to bill medicare on her behalf.
Entity NameTjh Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670465
PECOS PAC ID: 8527960533
Enrollment ID: O20040121000802
Entity NameFlushing Hospital & Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548217763
PECOS PAC ID: 2668367483
Enrollment ID: O20040219000415
Entity NameJamaica Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477505220
PECOS PAC ID: 2264324334
Enrollment ID: O20040427001519

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 Nicole Kulisek 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 AddressPractice Location Address
Dr Nicole Kulisek, MD
3000 Valley Forge Cir Apt 1543,
King Of Prussia, PA 19406-1150

Ph: (617) 251-4803
Dr Nicole Kulisek, MD
500 Arcola Rd,
Collegeville, PA 19426-3982

Ph: (646) 942-6148

Reviews and Comments


Pediatrics Doctors in Collegeville, PA

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Dr. Gayathri Sudhakar Rao, MD
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Shannon L. Vitelli, DO
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Practice Location: 17 Iron Bridge Dr Ste 100, Collegeville, PA 19426
Phone: 484-622-6340    Fax: 484-622-6357

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.