Michael Nolte, is a medicare enrolled "Plastic Surgery" physician in Champaign, Illinois. His current practice location is
3105 Fields South Dr, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 902-7527.
Michael Nolte is licensed to practice in Illinois (license number 036166042) 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 1811370687.
Physician's Profile
| Full Name | Michael Nolte |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 3105 Fields South Dr, Champaign, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811370687
- Provider Enumeration Date: 06/29/2015
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274837455
- Enrollment ID: I20231002003624
Medical Identifiers
Medical identifiers for Michael Nolte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811370687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 036166042 (Illinois) | Primary |
| 208600000X | Surgery | 125.066977 (Illinois) | Secondary |
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. Michael Nolte allows following entities to bill medicare on his behalf.
| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829 |
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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. Michael Nolte 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 |
|---|
Michael Nolte,
3105 Fields South Dr,
Champaign, IL 61822-3743
Ph: () - | Michael Nolte,
3105 Fields South Dr,
Champaign, IL 61822-3743
Ph: (217) 902-7527 |
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