Mr Nicholas Jack Marino Jr, CPNP - Medicare Nurse Practitioner in Tallmadge, OH

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Mr Nicholas Jack Marino Jr, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Tallmadge, Ohio. His current practice location is 109 Maryann Rd, Tallmadge, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 608-3863.

Mr Nicholas Jack Marino Jr is licensed to practice in Ohio (license number 0030147) 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 1366107682.

Contact Information

Mr Nicholas Jack Marino Jr, CPNP
109 Maryann Rd,
Tallmadge, OH 44278-1803
(330) 608-3863
Not Available

Map and Direction




Provider's Profile

Full NameMr Nicholas Jack Marino Jr
GenderMale
SpecialityNurse Practitioner - Pediatrics, Critical Care
Location109 Maryann Rd, Tallmadge, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366107682
  • Provider Enumeration Date: 11/02/2021
  • Last Update Date: 11/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133515174
  • Enrollment ID: I20220331000609

Medical Identifiers

Medical identifiers for Mr Nicholas Jack Marino Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366107682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0222XNurse Practitioner - Pediatrics, Critical Care 0030147 (Ohio)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. Mr Nicholas Jack Marino Jr allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049

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. Mr Nicholas Jack Marino Jr 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
Mr Nicholas Jack Marino Jr, CPNP
109 Maryann Rd,
Tallmadge, OH 44278-1803

Ph: (330) 608-3863		Mr Nicholas Jack Marino Jr, CPNP
109 Maryann Rd,
Tallmadge, OH 44278-1803

Ph: (330) 608-3863

Reviews and Comments


Nurse Practitioner Nurses in Tallmadge, OH

Ranee Jean Solomon,
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Phone: 234-817-0225    
Lynn A Templeton, CNP
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Michele A Catania,
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Practice Location: 65 Community Rd, Suite C, Tallmadge, OH 44278
Phone: 330-633-6601    Fax: 330-634-1329
Ryan Scott Magee, MSN, APRN, FNP-C
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Scott Taylor, FNP
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Practice Location: 33 North Ave Ste 103, Tallmadge, OH 44278
Phone: 330-633-3883    

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.