Nicole Kornder, MD - Medicare Family Practice in Dublin, OH

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Nicole Kornder, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Dublin, Ohio. She went to University Of Wisconsin School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Osu Internal Medicine Llc and her current practice location is 3900 Stoneridge Ln Ste C, Dublin, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 366-9324.

Nicole Kornder is licensed to practice in Ohio (license number 35128436) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053756163.

Contact Information

Nicole Kornder, MD
3900 Stoneridge Ln Ste C,
Dublin, OH 43017-2289
(614) 366-9324
(614) 366-9339

Map and Direction




Physician's Profile

Full NameNicole Kornder
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location3900 Stoneridge Ln Ste C, Dublin, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Kornder attended and graduated from University Of Wisconsin School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1053756163
  • Provider Enumeration Date: 05/02/2013
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709015977
  • Enrollment ID: I20160630001300

Medical Identifiers

Medical identifiers for Nicole Kornder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053756163NPI-NPPES
0167961MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35128436 (Ohio)Secondary
207QS0010XFamily Medicine - Sports Medicine 35128436 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohio State University State Health SystemColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osu Internal Medicine Llc5496651408994

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. Nicole Kornder allows following entities to bill medicare on her behalf.
Entity NameOsu Family Practice Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659339653
PECOS PAC ID: 9032023874
Enrollment ID: O20031117000511
Entity NameOsu Internal Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740231448
PECOS PAC ID: 5496651408
Enrollment ID: O20031210000658
Entity NameOsu Sports Medicine Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285692228
PECOS PAC ID: 5294773636
Enrollment ID: O20050418000660

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. Nicole Kornder 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
Nicole Kornder, MD
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559

Ph: (614) 293-7417		Nicole Kornder, MD
3900 Stoneridge Ln Ste C,
Dublin, OH 43017-2289

Ph: (614) 366-9324

Reviews and Comments


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Abid I Rana, MD
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Dr. David Kyungjin Lee, M.D.
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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.