Nicholas Madathilate, is a medicare enrolled "Anesthesiologist Assistant" in Venice, Florida. His current practice location is
856 Dahoon Cir, Venice, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 735-5425.
Nicholas Madathilate is licensed to practice in Florida (license number 1020) 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 1245069442.
Provider's Profile
Full Name | Nicholas Madathilate |
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Gender | Male |
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Speciality | Anesthesiologist Assistant |
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Location | 856 Dahoon Cir, Venice, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245069442
- Provider Enumeration Date: 07/29/2024
- Last Update Date: 11/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820522154
- Enrollment ID: I20241108003897
Medical Identifiers
Medical identifiers for Nicholas Madathilate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245069442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
367H00000X | Anesthesiologist Assistant | 1020 (Florida) | 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. Nicholas Madathilate allows following entities to bill medicare on his behalf.
Entity Name | Greater Florida Anesthesiologists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
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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. Nicholas Madathilate 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 |
Nicholas Madathilate, 856 Dahoon Cir, Venice, FL 34293-7251 Ph: (941) 735-5425 | Nicholas Madathilate, 856 Dahoon Cir, Venice, FL 34293-7251 Ph: (941) 735-5425 |
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