Nicholas Mota, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Paterson, New Jersey. His current practice location is
703 Main St, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 754-2000.
Nicholas Mota is licensed to practice in * (Not Available) (license number ) 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 1215388525.
Physician's Profile
Full Name | Nicholas Mota |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 703 Main St, Paterson, New Jersey |
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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: 1215388525
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486075272
- Enrollment ID: I20200603001124
Medical Identifiers
Medical identifiers for Nicholas Mota such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215388525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 20498 (New Hampshire) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Nicholas Mota allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700864709 PECOS PAC ID: 2365418993 Enrollment ID: O20040907000095 |
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Entity Name | Emergency Medicine Physicians Of Rockingham County, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174956668 PECOS PAC ID: 4981830288 Enrollment ID: O20131114001576 |
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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. Nicholas Mota 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 |
Nicholas Mota, DO 100 Mcgregor St, Manchester, NH 03102-3730 Ph: () - | Nicholas Mota, DO 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2000 |
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