Niki Manole Ninopoulos, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Albuquerque, New Mexico. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rio Grande Dermatology, Pc and her current practice location is
3901 Carlisle Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 254-6100.
Niki Manole Ninopoulos is licensed to practice in New Mexico (license number PA2018-0074) 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 1134604978.
Physician's Profile
| Full Name | Niki Manole Ninopoulos |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 3901 Carlisle Blvd Ne, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Niki Manole Ninopoulos graduated from medical school in 2018
NPI Data:
- NPI Number: 1134604978
- Provider Enumeration Date: 09/27/2018
- Last Update Date: 12/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8820335953
- Enrollment ID: I20190129000452
Medical Identifiers
Medical identifiers for Niki Manole Ninopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134604978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | PA2018-0074 (New Mexico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (New Mexico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA2018-0074 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rio Grande Dermatology, Pc | 4082777008 | 6 |
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. Niki Manole Ninopoulos 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 |
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Niki Manole Ninopoulos, PA-C
4501 Larchmont Dr Ne,
Albuquerque, NM 87111-3042
Ph: (505) 315-6932 | Niki Manole Ninopoulos, PA-C
3901 Carlisle Blvd Ne,
Albuquerque, NM 87107-4503
Ph: (505) 254-6100 |
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