Mr Ryan David Nicklas, MD in Wpafb, OH - Medicare Anesthesiology

Mr Ryan David Nicklas, MD is a medicare enrolled "Anesthesiology" physician in Wpafb, Ohio. His current practice location is 4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at (376) 302-1619.

Mr Ryan David Nicklas is licensed to practice in Ohio (license number 35.149304) 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 1770075533.

Contact Information

	Mr Ryan David Nicklas, MD
	4881 Sugar Maple Dr, Wpafb, OH 45433-5529
	(376) 302-1619
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Ryan David Nicklas
Gender	Male
Speciality	Anesthesiology
Location	4881 Sugar Maple Dr, Wpafb, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770075533
Provider Enumeration Date: 06/06/2018
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9931459468
Enrollment ID: I20231016001205

Medical Identifiers

Medical identifiers for Mr Ryan David Nicklas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770075533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	010050 (Georgia)	Secondary
207L00000X	Anesthesiology	MD476020 (Pennsylvania)	Secondary
207L00000X	Anesthesiology	35.149304 (Ohio)	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. Mr Ryan David Nicklas allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology Services Network Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Mr Ryan David Nicklas 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
Mr Ryan David Nicklas, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 630-2161	Mr Ryan David Nicklas, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (376) 302-1619

Reviews and Comments

Anesthesiology Doctors in Wpafb, OH

Geoffrey Thomas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-3098
Dr. Gregory Allen Kearby, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 88th Medical Group, 4881 Sugar Maple Drive, Wpafb, OH 45433 Phone: 937-360-2161
Dr. Stefani Lorane Diedrich, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-630-2161

Mr Ryan David Nicklas, MD - Medicare Anesthesiology in Wpafb, OH