Michael A Nicholas, DO | |
2150 Gettler St Ste 400, Dyer, IN 46311-2385 | |
(219) 865-0893 | |
(219) 865-3599 |
Full Name | Michael A Nicholas |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 46 Years |
Location | 2150 Gettler St Ste 400, Dyer, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598740748 | NPI | - | NPPES |
000000095311 | Other | IN | ANTHEM PIN |
060030029 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 02000901A (Indiana) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 02000901A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Dyer | Dyer, IN | Hospital |
Franciscan Health Munster | Munster, IN | Hospital |
Franciscan Health Crown Point | Crown point, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 983 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Michael A Nicholas, DO Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Michael A Nicholas, DO 2150 Gettler St Ste 400, Dyer, IN 46311-2385 Ph: (219) 865-0893 |
Dr. Sumanth Mulamalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15900 W 101st Ave, Dyer, IN 46311 Phone: 219-365-6333 Fax: 219-365-8291 | |
Eshwar Nagraj Murthy, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-933-2288 | |
Mohamad Kassar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-924-8178 Fax: 219-924-8179 | |
Dr. Beder Pharaon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502 | |
C Richard Smith, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311 Phone: 219-865-0893 Fax: 219-865-3599 | |
Dr. Vladimir Selounski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-852-2502 | |
Brandon Keith Nance, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-865-2141 |