Dr Michael Shawn Nick, DO, PHARMD is a medicare enrolled "Anesthesiology" provider in Tulsa, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Northstar Anesthesia Of Oklahoma, Pllc, Integral Anesthesia Llc and his current practice location is
1611 S Utica Ave, Ste 217, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 744-3664.
Dr Michael Shawn Nick is licensed to practice in Oklahoma (license number 4937) 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 1639480254.
Healthcare Provider's Profile
| Full Name | Dr Michael Shawn Nick |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 18 Years |
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| Location | 1611 S Utica Ave, Tulsa, Oklahoma |
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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:
- Dr Michael Shawn Nick attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2006
NPI Data:
- NPI Number: 1639480254
- Provider Enumeration Date: 06/29/2010
- Last Update Date: 05/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 7012159510
- Enrollment ID: I20130813000560
Medical Identifiers
Medical identifiers for Dr Michael Shawn Nick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639480254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 13532 (Oklahoma) | Secondary |
| 207L00000X | Anesthesiology | 4937 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northstar Anesthesia Of Oklahoma, Pllc | 1254519275 | 80 |
| Integral Anesthesia Llc | 9638461973 | 39 |
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 Michael Shawn Nick allows following entities to bill medicare on his behalf.
| Entity Name | St. John Anesthesia Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265446579
PECOS PAC ID: 4789607938
Enrollment ID: O20060113000295 |
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| Entity Name | Northstar Anesthesia Of Oklahoma, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043516628
PECOS PAC ID: 1254519275
Enrollment ID: O20110622000357 |
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| Entity Name | Integral Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881041515
PECOS PAC ID: 9638461973
Enrollment ID: O20160707001409 |
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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. Dr Michael Shawn Nick 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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Dr Michael Shawn Nick, DO, PHARMD
1611 S Utica Ave, Ste 217,
Tulsa, OK 74104-4909
Ph: (918) 744-3664 | Dr Michael Shawn Nick, DO, PHARMD
1611 S Utica Ave, Ste 217,
Tulsa, OK 74104-4909
Ph: (918) 744-3664 |
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