Zachary Charles Niese, RN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Pandora, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hometown Urgent Care Of Michigan Pc and his current practice location is
2040 Road P, Pandora, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 615-2983.
Zachary Charles Niese is licensed to practice in Ohio (license number APRN.CNP.024287) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063978690.
Provider's Profile
| Full Name | Zachary Charles Niese |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 2040 Road P, Pandora, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Zachary Charles Niese attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2017
NPI Data:
- NPI Number: 1063978690
- Provider Enumeration Date: 02/19/2019
- Last Update Date: 05/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547501249
- Enrollment ID: I20190405002053
Medical Identifiers
Medical identifiers for Zachary Charles Niese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063978690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.024287 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hometown Urgent Care Of Michigan Pc | 8123270840 | 190 |
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. Zachary Charles Niese allows following entities to bill medicare on his behalf.
| Entity Name | Lima Memorial Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131 |
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| Entity Name | Urgent Care Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114957123
PECOS PAC ID: 1850311010
Enrollment ID: O20051202000090 |
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| Entity Name | Hometown Urgent Care Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20211014001382 |
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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. Zachary Charles Niese 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 |
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Zachary Charles Niese, RN, CNP
16855 Road 5,
Pandora, OH 45877-9755
Ph: (419) 615-2983 | Zachary Charles Niese, RN, CNP
2040 Road P,
Pandora, OH 45877-9733
Ph: (419) 615-2983 |
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