John D Nicholson, MD is a medicare enrolled "Colon & Rectal Surgery" physician in East Syracuse, New York. His current practice location is
Glacier Creek Office Park- Bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 458-2211.
John D Nicholson is licensed to practice in New York (license number 133705) 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 1699872101.
Physician's Profile
Full Name | John D Nicholson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | Glacier Creek Office Park- Bldg Ii, East Syracuse, New York |
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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:
- John D Nicholson attended and graduated from in
NPI Data:
- NPI Number: 1699872101
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for John D Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699872101 | NPI | - | NPPES |
00456919 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 133705 (New York) | Secondary |
208C00000X | Colon & Rectal Surgery | 133705 (New York) | 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. John D Nicholson 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 |
John D Nicholson, MD Glacier Creek Office Park- Bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057-9510 Ph: (315) 458-2211 | John D Nicholson, MD Glacier Creek Office Park- Bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057-9510 Ph: (315) 458-2211 |
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