Dr Nilton D Medina, MD is a
Plastic Surgery physician based in Loganville, Georgia. Dr Nilton D Medina is licensed to practice in Georgia (license number 91080) and his current practice location is 367 Athens Hwy Ste 100, Loganville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 466-6760.
NPI number for Dr Nilton D Medina is 1548488992 and his current mailing address is 367 Athens Hwy Ste 100, Loganville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548488992.
Physician's Profile
| Full Name | Dr Nilton D Medina |
|---|
| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 367 Athens Hwy Ste 100, Loganville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548488992
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 06/06/2023
Medical Identifiers
Medical identifiers for Dr Nilton D Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548488992 | NPI | - | NPPES |
| 110086073A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 244734 (Massachusetts) | Secondary |
| 208200000X | Plastic Surgery | 91080 (Georgia) | Primary |
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 Nilton D Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nilton D Medina, MD
367 Athens Hwy Ste 100,
Loganville, GA 30052-2207
Ph: (678) 466-6760 | Dr Nilton D Medina, MD
367 Athens Hwy Ste 100,
Loganville, GA 30052-2207
Ph: (678) 466-6760 |
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