John D Nicholson, MD is a medicare enrolled "Colon & Rectal Surgery" physician in East Syracuse, New York. He went to State University Of Ny Upstate Medical University and graduated in 1973 and has 51 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Colon Rectal Associates Of Central New York Llp and 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 | Colorectal Surgery (proctology) |
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| Experience | 51 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. |
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Medical Education and Training:
- John D Nicholson attended and graduated from State University Of Ny Upstate Medical University in 1973
NPI Data:
- NPI Number: 1699872101
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759354723
- Enrollment ID: I20100917000476
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 |
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| 208600000X | Surgery | 133705 (New York) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 133705 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Colon Rectal Associates Of Central New York Llp | 3577536531 | 6 |
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. John D Nicholson allows following entities to bill medicare on his behalf.
| Entity Name | Colon Rectal Associates Of Central New York Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730248022
PECOS PAC ID: 3577536531
Enrollment ID: O20100928000044 |
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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 |
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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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