Aiden Nicholson, CNM, APN is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Chicago, Illinois. His current practice location is
4700 S California Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(917) 721-3024.
Aiden Nicholson is licensed to practice in Illinois (license number 277000413) 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 1366849325.
Provider's Profile
| Full Name | Aiden Nicholson |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
|---|
| Location | 4700 S California Ave, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1366849325
- Provider Enumeration Date: 11/19/2014
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294054250
- Enrollment ID: I20151008000150
Medical Identifiers
Medical identifiers for Aiden Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366849325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 277.000413 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 277000413 (Illinois) | 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. Aiden Nicholson allows following entities to bill medicare on his behalf.
| Entity Name | Rush University Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228 |
|---|
| Entity Name | Esperanza Health Centers |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1124187125
PECOS PAC ID: 2961453105
Enrollment ID: O20050204000750 |
|---|
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. Aiden Nicholson 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 |
|---|
Aiden Nicholson, CNM, APN
4700 S California Ave,
Chicago, IL 60632-2016
Ph: () - | Aiden Nicholson, CNM, APN
4700 S California Ave,
Chicago, IL 60632-2016
Ph: (917) 721-3024 |
Reviews and Comments