Mateo F Nicholson, DO - Medicare Physical Medicine & Rehabilitation in Fort Wayne, IN

Mateo F Nicholson, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fort Wayne, Indiana. His current practice location is 2231 Carew St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-6780.

Mateo F Nicholson is licensed to practice in Indiana (license number 02007853A) 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 1659833366.

Contact Information

Mateo F Nicholson, DO
2231 Carew St,
Fort Wayne, IN 46805-4713
(260) 425-6780
(260) 373-9225

Map and Direction




Physician's Profile

Full NameMateo F Nicholson
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location2231 Carew St, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659833366
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668897687
  • Enrollment ID: I20200806003269

Medical Identifiers

Medical identifiers for Mateo F Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659833366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125074919 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program 33866 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Wisconsin)Secondary
208100000XPhysical Medicine & Rehabilitation 02007853A (Indiana)Primary
390200000XStudent In An Organized Health Care Education/training Program 75957-21 (Wisconsin)Secondary

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. Mateo F 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
Mateo F Nicholson, DO
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -
Mateo F Nicholson, DO
2231 Carew St,
Fort Wayne, IN 46805-4713

Ph: (260) 425-6780

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Fort Wayne, IN

David S Stensland, M.D.
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Phone: 260-432-1800    Fax: 260-432-1804
Mr. Jeremy R. Gall, ATC
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Elijah Klepper, PT, DPT
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Phone: 260-266-7400    Fax: 260-266-7439
Sayed E. Wahezi, MD
Physical Medicine & Rehabilitation
Medicare: May Accept Medicare Assignments
Practice Location: 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845
Phone: 260-459-7313    Fax: 260-436-0628
Elisha Lynn Hardesty, DPT
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845
Phone: 260-266-7400    Fax: 260-266-7439
Delaney Faith Werling,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805
Phone: 260-373-3202    
Kayla Sue Ann Brumbaugh, PTA
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 7125 Hanna St, Fort Wayne, IN 46816
Phone: 260-249-9818    

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).

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