Nathaniel Gregg Denicola, MD - Medicare Obstetrics/gynecology in Philadelphia, PA

Nathaniel Gregg Denicola, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Philadelphia, Pennsylvania. He went to University Of California, Irvine, California College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Caduceus Physicians Medical Group and his current practice location is 3701 Market St, 3rd Floor, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-6035.

Nathaniel Gregg Denicola is licensed to practice in Pennsylvania (license number MD443344) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225205651.

Contact Information

Nathaniel Gregg Denicola, MD
3701 Market St, 3rd Floor,
Philadelphia, PA 19104-5502
(215) 662-6035
Not Available

Map and Direction




Physician's Profile

Full NameNathaniel Gregg Denicola
GenderMale
SpecialityObstetrics/gynecology
Experience18 Years
Location3701 Market St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nathaniel Gregg Denicola attended and graduated from University Of California, Irvine, California College Of Medicine in 2006
  NPI Data:
  • NPI Number: 1225205651
  • Provider Enumeration Date: 05/14/2008
  • Last Update Date: 01/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3779752860
  • Enrollment ID: I20201123001980

Medical Identifiers

Medical identifiers for Nathaniel Gregg Denicola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225205651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology MD443344 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Caduceus Physicians Medical Group529476265437

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. Nathaniel Gregg Denicola allows following entities to bill medicare on his behalf.
Entity NameCaduceus Physicians Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497702724
PECOS PAC ID: 5294762654
Enrollment ID: O20050718001020
Entity NameHoag Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942799523
PECOS PAC ID: 3274872064
Enrollment ID: O20190221001936

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. Nathaniel Gregg Denicola 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 AddressPractice Location Address
Nathaniel Gregg Denicola, MD
3701 Market St, 3rd Floor,
Philadelphia, PA 19104-5502

Ph: (215) 662-6035
Nathaniel Gregg Denicola, MD
3701 Market St, 3rd Floor,
Philadelphia, PA 19104-5502

Ph: (215) 662-6035

Reviews and Comments


Obstetrics & Gynecology Doctors in Philadelphia, PA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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