Lara Kathryn Nicol, MD in Chicago, IL - Medicare Family Practice

Lara Kathryn Nicol, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. She went to University Of Hawaii John A. Burns School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Advocate Health And Hospitals Corporation and her current practice location is 4211 N Cicero Ave Ste 308, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 736-6125.

Lara Kathryn Nicol is licensed to practice in Illinois (license number 036-122174) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124412374.

Contact Information

	Lara Kathryn Nicol, MD
	4211 N Cicero Ave Ste 308, Chicago, IL 60641-1649
	(773) 736-6125
	Not Available

Map and Direction

Physician's Profile

Full Name	Lara Kathryn Nicol
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	4211 N Cicero Ave Ste 308, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lara Kathryn Nicol attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 2015

NPI Data:

NPI Number: 1124412374
Provider Enumeration Date: 03/26/2015
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 3072818780
Enrollment ID: I20180814000092

Medical Identifiers

Medical identifiers for Lara Kathryn Nicol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124412374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-122174 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Illinois Masonic Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2484

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. Lara Kathryn Nicol allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Lara Kathryn Nicol 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
Lara Kathryn Nicol, MD 2511 N Kedzie Blvd, Chicago, IL 60647-2603 Ph: (773) 292-2700	Lara Kathryn Nicol, MD 4211 N Cicero Ave Ste 308, Chicago, IL 60641-1649 Ph: (773) 736-6125

Reviews and Comments

Family Medicine Doctors in Chicago, IL

Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300
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Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273

Lara Kathryn Nicol, MD - Medicare Family Practice in Chicago, IL