Melinda Sue Nicholes, DPM in Portland, OR - Medicare Podiatrist Provider

Melinda Sue Nicholes, DPM is a medicare enrolled "Podiatrist" provider in Portland, Oregon. Her current practice location is 9115 Sw Oleson Rd Ste 205, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 245-2420.

Melinda Sue Nicholes is licensed to practice in Oregon (license number DP211498) 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 1699330803.

Contact Information

	Melinda Sue Nicholes, DPM
	9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877
	(503) 245-2420
	(503) 245-2445

Map and Direction

Healthcare Provider's Profile

Full Name	Melinda Sue Nicholes
Gender	Female
Speciality	Podiatrist
Location	9115 Sw Oleson Rd Ste 205, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699330803
Provider Enumeration Date: 05/02/2019
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 2668856238
Enrollment ID: I20220831000575

Medical Identifiers

Medical identifiers for Melinda Sue Nicholes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699330803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	DP211498 (Oregon)	Secondary
213E00000X	Podiatrist	DP211498 (Oregon)	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. Melinda Sue Nicholes allows following entities to bill medicare on her behalf.

Provider Name	Northwest Extremity Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295126241 PECOS PAC ID: 3577881747 Enrollment ID: O20150420000860

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. Melinda Sue Nicholes 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
Melinda Sue Nicholes, DPM 9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877 Ph: (503) 245-2420	Melinda Sue Nicholes, DPM 9115 Sw Oleson Rd Ste 205, Portland, OR 97223-6877 Ph: (503) 245-2420

Reviews and Comments

Podiatrist in Portland, OR

Podiatrist Medicare: Medicare Enrolled Practice Location: 9615 Nw Randall Ln, Portland, OR 97229 Phone: 503-297-2222
Edward Theodore Ysunza Iv, Podiatrist Medicare: Medicare Enrolled Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262
Dr. Brian M. Bowen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1717 Ne 42nd Ave, Suite 3300, Portland, OR 97213 Phone: 503-284-2000 Fax: 503-284-2002
Podiatrist Medicare: Medicare Enrolled Practice Location: 8305 Se Monterey Ave Ste 101, Portland, OR 97266 Phone: 503-652-1121 Fax: 503-652-2193
Ray A Mcclanahan, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 725 Nw 19th Ave, Portland, OR 97209 Phone: 503-243-2699 Fax: 503-243-2698
Portland Foot And Ankle Institute, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229 Phone: 503-336-0169 Fax: 503-352-4583
Dr. Steven Gary Tillett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6274 Sw Capitol Hwy, Portland, OR 97239 Phone: 503-246-2212

Melinda Sue Nicholes, DPM - Medicare Podiatrist in Portland, OR