Nicholas Michael Absalom, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Midvale, Utah. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2007 and has 17 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Community Care Services Llc and his current practice location is
7259 S Bingham Junction Blvd, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 264-6400.
Nicholas Michael Absalom is licensed to practice in Texas (license number P0329) 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 1770744112.
Physician's Profile
Full Name | Nicholas Michael Absalom |
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Gender | Male |
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Speciality | Neurology |
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Experience | 17 Years |
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Location | 7259 S Bingham Junction Blvd, Midvale, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicholas Michael Absalom attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2007
NPI Data:
- NPI Number: 1770744112
- Provider Enumeration Date: 06/18/2008
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395900633
- Enrollment ID: I20221214001948
Medical Identifiers
Medical identifiers for Nicholas Michael Absalom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770744112 | NPI | - | NPPES |
3115814 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | MC-0602 (Idaho) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 2020003928 (Missouri) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | MD185800 (Oregon) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 310721 (Louisiana) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME134160 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | P0329 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Care Services Llc | 1951324318 | 391 |
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 Michael Absalom allows following entities to bill medicare on his behalf.
Entity Name | Community Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
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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 Michael Absalom 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 Michael Absalom, MD 8750 Mediterranean Dr, Dallas, TX 75238-3742 Ph: () - | Nicholas Michael Absalom, MD 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 Ph: (801) 264-6400 |
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