Micah Jon Nieboer, MD in Temple Terrace, FL - Medicare Orthopaedic Surgery

Micah Jon Nieboer, MD is a medicare enrolled "Orthopaedic Surgery" physician in Temple Terrace, Florida. His current practice location is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 978-9700.

Micah Jon Nieboer is licensed to practice in Florida (license number ME168209) 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 1336702224.

Contact Information

	Micah Jon Nieboer, MD
	13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925
	(813) 978-9700
	Not Available

Map and Direction

Physician's Profile

Full Name	Micah Jon Nieboer
Gender	Male
Speciality	Orthopaedic Surgery
Location	13020 N Telecom Pkwy, Temple Terrace, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336702224
Provider Enumeration Date: 04/17/2019
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0547595803
Enrollment ID: I20201124001208

Medical Identifiers

Medical identifiers for Micah Jon Nieboer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336702224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	68395 (Minnesota)	Secondary
207X00000X	Orthopaedic Surgery	30229 (Minnesota)	Secondary
207X00000X	Orthopaedic Surgery	ME168209 (Florida)	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. Micah Jon Nieboer allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

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. Micah Jon Nieboer 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
Micah Jon Nieboer, MD 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700	Micah Jon Nieboer, MD 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700

Reviews and Comments

Orthopaedic Surgery Doctors in Temple Terrace, FL

Ankur Shah Narain, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700
Lukas Emile Hashem, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6001
Dr. James Joseph Creighton Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700
Dr. George Robert Kolettis, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700
Mr. Stanley S Shama, DPM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 232 Bullard Pkwy, Temple Terrace, FL 33617 Phone: 813-985-2811 Fax: 813-985-3045
Kenneth Gustke, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6129
John M Small, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055

Micah Jon Nieboer, MD - Medicare Orthopaedic Surgery in Temple Terrace, FL