Dr Gina Marie Kicos, DNP, APRN-CNP - Medicare Nurse Practitioner in Canton, OH

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Dr Gina Marie Kicos, DNP, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Ohio. Her current practice location is 4235 Tuscarawas St W, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (234) 203-4232.

Dr Gina Marie Kicos is licensed to practice in Ohio (license number APRN.CNP.14603) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073952685.

Contact Information

Dr Gina Marie Kicos, DNP, APRN-CNP
4235 Tuscarawas St W,
Canton, OH 44708-5424
(234) 203-4232
(330) 266-4386

Map and Direction




Provider's Profile

Full NameDr Gina Marie Kicos
GenderFemale
SpecialityNurse Practitioner - Family
Location4235 Tuscarawas St W, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073952685
  • Provider Enumeration Date: 06/17/2013
  • Last Update Date: 07/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961644711
  • Enrollment ID: I20130807001015

Medical Identifiers

Medical identifiers for Dr Gina Marie Kicos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073952685NPI-NPPES
0087459MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.14603 (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. Dr Gina Marie Kicos allows following entities to bill medicare on her behalf.
Entity NameCrossroads Hospice Of Cleveland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730329681
PECOS PAC ID: 8022133792
Enrollment ID: O20130416000352
Entity NameOsh-oh Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346747946
PECOS PAC ID: 1759639693
Enrollment ID: O20180808003187

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. Dr Gina Marie Kicos 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
Dr Gina Marie Kicos, DNP, APRN-CNP
3721 20th St Nw,
Canton, OH 44708-2926

Ph: (330) 354-7324		Dr Gina Marie Kicos, DNP, APRN-CNP
4235 Tuscarawas St W,
Canton, OH 44708-5424

Ph: (234) 203-4232

Reviews and Comments


Nurse Practitioner Nurses in Canton, OH

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Phone: 330-363-7444    Fax: 330-363-7770
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Phone: 330-363-9632    

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.