Jonathon K Nicholson, MD - Medicare Pediatrics in Defiance, OH

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Jonathon K Nicholson, MD is a medicare enrolled "Pediatrics" physician in Defiance, Ohio. His current practice location is 1400 E 2nd St Ste 100, Defiance, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 783-3226.

Jonathon K Nicholson is licensed to practice in Michigan (license number 4301104162) 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 1538167572.

Contact Information

Jonathon K Nicholson, MD
1400 E 2nd St Ste 100,
Defiance, OH 43512-9905
(419) 783-3226
Not Available

Map and Direction




Physician's Profile

Full NameJonathon K Nicholson
GenderMale
SpecialityPediatrics
Location1400 E 2nd St Ste 100, Defiance, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538167572
  • Provider Enumeration Date: 07/13/2005
  • Last Update Date: 02/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810993342
  • Enrollment ID: I20180313001230

Medical Identifiers

Medical identifiers for Jonathon K Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538167572NPI-NPPES
0010639MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0000XInternal Medicine - Adolescent Medicine 35080078 (Ohio)Secondary
208000000XPediatrics 4301104162 (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. Jonathon K Nicholson allows following entities to bill medicare on his behalf.
Entity NameAscension Borgess Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416311
PECOS PAC ID: 5294645750
Enrollment ID: O20040209000029

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. Jonathon K 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 AddressPractice Location Address
Jonathon K Nicholson, MD
1400 E 2nd St Ste 100,
Defiance, OH 43512-9905

Ph: (419) 783-3226		Jonathon K Nicholson, MD
1400 E 2nd St Ste 100,
Defiance, OH 43512-9905

Ph: (419) 783-3226

Reviews and Comments


Pediatrics Doctors in Defiance, OH

Dr. Robert J Foldvary, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1400 E 2nd St, Defiance, OH 43512
Phone: 419-784-1414    Fax: 419-783-3014
Anjaneyulu Gunda, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1400 E 2nd St, Defiance, OH 43512
Phone: 419-784-1414    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.