Dr Nicole Lucia Hidalgo, MD in Grand Rapids, MI

Dr Nicole Lucia Hidalgo, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. Her current practice location is 100 Cherry St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 965-8200.

Dr Nicole Lucia Hidalgo is licensed to practice in Michigan (license number 4301101402) 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 1881940716.

Contact Information

	Dr Nicole Lucia Hidalgo, MD
	100 Cherry St Se, Grand Rapids, MI 49503
	(616) 965-8200
	(616) 940-5366

Map and Direction

Physician's Profile

Full Name	Dr Nicole Lucia Hidalgo
Gender	Female
Speciality	Pediatrics
Location	100 Cherry St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881940716
Provider Enumeration Date: 07/29/2012
Last Update Date: 10/21/2019

Medicare PECOS Information:

PECOS PAC ID: 9335432921
Enrollment ID: I20160719002310

Medical Identifiers

Medical identifiers for Dr Nicole Lucia Hidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881940716	NPI	-	NPPES
4301101402	Other	MI	BOARD OF MEDICINE PHYSICIAN EDUCATIONAL LIMITED LICENSE
H342630560035	Other	MI	DRIVER'S LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301101402 (Michigan)	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 Lucia Hidalgo allows following entities to bill medicare on her behalf.

Entity Name	Cherry Street Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558459164 PECOS PAC ID: 6800707647 Enrollment ID: O20040804000274

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 Lucia Hidalgo 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 Nicole Lucia Hidalgo, MD 100 Cherry St Se, Grand Rapids, MI 49503-4526 Ph: (616) 965-8200	Dr Nicole Lucia Hidalgo, MD 100 Cherry St Se, Grand Rapids, MI 49503 Ph: (616) 965-8200

Reviews and Comments

Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191

Dr Nicole Lucia Hidalgo, MD - Medicare Pediatrics in Grand Rapids, MI