Mr George John Nickel, SLP in Staten Island, NY - Medicare Speech-Language Pathologist Provider

Mr George John Nickel, SLP is a medicare enrolled "Speech-language Pathologist" provider in Staten Island, New York. His current practice location is 97 Dawson Circle, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (917) 742-4011.

Mr George John Nickel is licensed to practice in New York (license number 009286) 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 1013146265.

Contact Information

	Mr George John Nickel, SLP
	97 Dawson Circle, Staten Island, NY 10314-3824
	(917) 742-4011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr George John Nickel
Gender	Male
Speciality	Speech-language Pathologist
Location	97 Dawson Circle, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013146265
Provider Enumeration Date: 07/09/2009
Last Update Date: 07/09/2009

Medicare PECOS Information:

PECOS PAC ID: 5496939787
Enrollment ID: I20110411000836

Medical Identifiers

Medical identifiers for Mr George John Nickel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013146265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	009286 (New York)	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. Mr George John Nickel allows following entities to bill medicare on his behalf.

Provider Name	Superior Clinical Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154487122 PECOS PAC ID: 5799083655 Enrollment ID: O20160411001266

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. Mr George John Nickel 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
Mr George John Nickel, SLP 97 Dawson Circle, Staten Island, NY 10314-3824 Ph: (917) 742-4011	Mr George John Nickel, SLP 97 Dawson Circle, Staten Island, NY 10314-3824 Ph: (917) 742-4011

Reviews and Comments

Speech-Language Pathologist in Staten Island, NY

Mrs. Sharona Goldkrantz Rosenrauch, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 664 Stewart Ave, Staten Island, NY 10314 Phone: 718-982-5971
Mrs. Rachel Ahmed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 176 Bathgate Street, Staten Island, NY 10312 Phone: 917-861-6706
Ms. Christine Ann Sprufero, CCC - SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6521
Ms. Nicole Lee Ambrose, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Avenue, Staten Island, NY 10314 Phone: 718-477-0961 Fax: 718-761-1643
Ms. Kristina Sansone, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Willowbrook Road, Ps 54 Charles W. Leng, Staten Island, NY 10314 Phone: 718-698-0600 Fax: 718-698-1736
Miss Violetta Sukiasyan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 339 Montreal Ave, Staten Island, NY 10306 Phone: 917-378-4842
Mrs. Alexis R Barbara, M.S., TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 493 Genesee Ave, Staten Island, NY 10312 Phone: 718-317-1414

Mr George John Nickel, SLP - Medicare Speech-Language Pathologist in Staten Island, NY