Steven Erik Nystrom, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Buffalo, New York. His current practice location is
77 Goodell St Ste 340, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 645-9700.
Steven Erik Nystrom is licensed to practice in * (Not Available) (license number ) 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 1679812069.
Provider's Profile
| Full Name | Steven Erik Nystrom |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 77 Goodell St Ste 340, Buffalo, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679812069
- Provider Enumeration Date: 02/06/2013
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789829144
- Enrollment ID: I20130408000188
Medical Identifiers
Medical identifiers for Steven Erik Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679812069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | MA055958 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Steven Erik Nystrom 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 |
|---|
Steven Erik Nystrom,
77 Goodell St Ste 340,
Buffalo, NY 14203-1243
Ph: (716) 645-9700 | Steven Erik Nystrom,
77 Goodell St Ste 340,
Buffalo, NY 14203-1243
Ph: (716) 645-9700 |
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