Nicanor P San Nicolas, MD is a medicare enrolled "Pediatrics" physician in Seaman, Ohio. His current practice location is
218 Stern Rd, Seaman, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 386-1379.
Nicanor P San Nicolas is licensed to practice in Ohio (license number 35079956) 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 1457331381.
Physician's Profile
Full Name | Nicanor P San Nicolas |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 218 Stern Rd, Seaman, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457331381
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173754538
- Enrollment ID: I20140327001542
Medical Identifiers
Medical identifiers for Nicanor P San Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457331381 | NPI | - | NPPES |
2260708 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35079956 (Ohio) | 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. Nicanor P San Nicolas allows following entities to bill medicare on his behalf.
Entity Name | Healthsource Of Ohio, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611 |
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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. Nicanor P San Nicolas 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 |
Nicanor P San Nicolas, MD 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Nicanor P San Nicolas, MD 218 Stern Rd, Seaman, OH 45679-9607 Ph: (937) 386-1379 |
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