Timothy Nyckowski, DO is a medicare enrolled "Dermatology" physician in Lake Mary, Florida. His current practice location is
731 Stirling Center Pl Unit 1931, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 436-7375.
Timothy Nyckowski is licensed to practice in Florida (license number OS16707) 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 1003313735.
Physician's Profile
Full Name | Timothy Nyckowski |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 731 Stirling Center Pl Unit 1931, Lake Mary, Florida |
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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:
- Timothy Nyckowski attended and graduated from in
NPI Data:
- NPI Number: 1003313735
- Provider Enumeration Date: 04/09/2018
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Timothy Nyckowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003313735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | OS16707 (Florida) | Primary |
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. Timothy Nyckowski 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 |
Timothy Nyckowski, DO 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765-6591 Ph: () - | Timothy Nyckowski, DO 731 Stirling Center Pl Unit 1931, Lake Mary, FL 32746-5209 Ph: (407) 436-7375 |
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