Michael P Mc Nicoll, MD in Los Angeles, CA

Michael P Mc Nicoll, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Los Angeles, California. His current practice location is 4733 W Sunset Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 783-4011.

Michael P Mc Nicoll is licensed to practice in California (license number G52624) 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 1609943513.

Contact Information

	Michael P Mc Nicoll, MD
	4733 W Sunset Blvd, Los Angeles, CA 90027-6021
	(323) 783-4011
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael P Mc Nicoll
Gender	Male
Speciality	Otolaryngology - Plastic Surgery Within The Head & Neck
Location	4733 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609943513
Provider Enumeration Date: 11/29/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8628102654
Enrollment ID: I20100812000972

Medical Identifiers

Medical identifiers for Michael P Mc Nicoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609943513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	G52624 (California)	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. Michael P Mc Nicoll allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 P Mc Nicoll 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 P Mc Nicoll, MD 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 Ph: (323) 783-4011	Michael P Mc Nicoll, MD 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 Ph: (323) 783-4011

Reviews and Comments

Otolaryngology Doctors in Los Angeles, CA

Dr. Marc D Levy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12021 Wilmington Ave, Dept Of Otolaryngology, Los Angeles, CA 90059 Phone: 310-668-4536
Geoffrey B Trenkle, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave Ste 2500, Los Angeles, CA 90033 Phone: 323-268-6731 Fax: 323-268-6738
Dr. Roxana Moayer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 5100, Los Angeles, CA 90033 Phone: 323-442-5790
Joel Avram Sercarz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, #550, Los Angeles, CA 90095 Phone: 310-206-6688
Maie Abdul-rahman St John, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plaza, #550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-206-4105
Alisa Zhukhovitskaya, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-825-2810
Margaret Crystal Nurimba, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1200 N. State Street, Clinic Tower, Suite A2e, Los Angeles, CA 90033 Phone: 323-442-4830

Michael P Mc Nicoll, MD - Medicare Otolaryngology in Los Angeles, CA