Stephen A Nickisch, MD in Saint Marys, GA - Medicare Obstetrics & Gynecology

Stephen A Nickisch, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Saint Marys, Georgia. His current practice location is 2060 Dan Proctor Dr, Suite 1200, Saint Marys, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 540-6750.

Stephen A Nickisch is licensed to practice in Montana (license number 10278) 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 1578596615.

Contact Information

	Stephen A Nickisch, MD
	2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894
	(912) 540-6750
	(912) 540-6773

Map and Direction

Physician's Profile

Full Name	Stephen A Nickisch
Gender	Male
Speciality	Obstetrics & Gynecology
Location	2060 Dan Proctor Dr, Saint Marys, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578596615
Provider Enumeration Date: 07/09/2006
Last Update Date: 08/18/2014

Medicare PECOS Information:

PECOS PAC ID: 0042114514
Enrollment ID: I20130702000576

Medical Identifiers

Medical identifiers for Stephen A Nickisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578596615	NPI	-	NPPES
000099105	Other		BCBS
0093279	Medicaid	MT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	10278 (Montana)	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. Stephen A Nickisch allows following entities to bill medicare on his behalf.

Entity Name	Cooperative Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222

Entity Name	Obhg Georgia, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750686838 PECOS PAC ID: 9032383583 Enrollment ID: O20111117000602

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. Stephen A Nickisch 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
Stephen A Nickisch, MD 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 Ph: (912) 540-6750	Stephen A Nickisch, MD 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 Ph: (912) 540-6750

Reviews and Comments

Obstetrics & Gynecology Doctors in Saint Marys, GA

Dr. Jonathan Andrew Egly, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558 Phone: 912-540-6750 Fax: 912-540-6773
Livio Federico Pardi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 203 Lakeshore Pt, Saint Marys, GA 31558 Phone: 912-576-6465
Dr. Richard Lyle Brandon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 202 Lakeshore Dr, Suite A, Saint Marys, GA 31558 Phone: 912-673-1771 Fax: 912-673-1811
Shanna Michele Welgraven, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558 Phone: 912-540-6750 Fax: 912-540-6773
Michelle Yvonne Perry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr, Suite 1800, Saint Marys, GA 31558 Phone: 912-510-7376 Fax: 912-510-7377

Stephen A Nickisch, MD - Medicare Obstetrics & Gynecology in Saint Marys, GA