Michael Robert Nolan, MD is a medicare enrolled "General Practice" physician in Liverpool, New York. His current practice location is
8100 Oswego Road, Suite 220, Liverpool, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 652-6551.
Michael Robert Nolan is licensed to practice in New York (license number 202352) 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 1871661462.
Physician's Profile
| Full Name | Michael Robert Nolan |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 8100 Oswego Road, Liverpool, New York |
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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: 1871661462
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1658496237
- Enrollment ID: I20100920000781
Medical Identifiers
Medical identifiers for Michael Robert Nolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871661462 | NPI | - | NPPES |
| 015326 | Other | | MVP HEALTHCARE INSURER |
| 01529900 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 202352 (New York) | 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 Robert Nolan allows following entities to bill medicare on his behalf.
| Entity Name | Family Practice Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750410189
PECOS PAC ID: 5698867745
Enrollment ID: O20070822000413 |
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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 Robert Nolan 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 Robert Nolan, MD
8100 Oswego Road, Suite 220,
Liverpool, NY 13090
Ph: (315) 652-6551 | Michael Robert Nolan, MD
8100 Oswego Road, Suite 220,
Liverpool, NY 13090
Ph: (315) 652-6551 |
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