Dr Alexander Demetre Nicoloff, MD in Portland, OR

Dr Alexander Demetre Nicoloff, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Inovia Llc and his current practice location is 501 N Graham St, Suite 415, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-3580.

Dr Alexander Demetre Nicoloff is licensed to practice in Oregon (license number 18926) 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 1386610277.

Contact Information

	Dr Alexander Demetre Nicoloff, MD
	501 N Graham St, Suite 415, Portland, OR 97227-1654
	(503) 413-3580
	(503) 413-3578

Map and Direction

Physician's Profile

Full Name	Dr Alexander Demetre Nicoloff
Gender	Male
Speciality	Vascular Surgery
Experience	25 Years
Location	501 N Graham St, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Alexander Demetre Nicoloff attended and graduated from Oregon Health Sciences University School Of Medicine in 1999

NPI Data:

NPI Number: 1386610277
Provider Enumeration Date: 02/28/2006
Last Update Date: 07/16/2007

Medicare PECOS Information:

PECOS PAC ID: 7517947724
Enrollment ID: I20040720001010

Medical Identifiers

Medical identifiers for Dr Alexander Demetre Nicoloff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386610277	NPI	-	NPPES
226934	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	18926 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inovia Llc	2860592854	13

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 Alexander Demetre Nicoloff allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Inovia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376753442 PECOS PAC ID: 2860592854 Enrollment ID: O20070703000750

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 Alexander Demetre Nicoloff 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
Dr Alexander Demetre Nicoloff, MD 501 N Graham St, Suite 415, Portland, OR 97227-1654 Ph: (503) 413-3580	Dr Alexander Demetre Nicoloff, MD 501 N Graham St, Suite 415, Portland, OR 97227-1654 Ph: (503) 413-3580

Reviews and Comments

Surgery Doctors in Portland, OR

Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061
Dr. Julia Celeste Swanson-birchill, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372

Dr Alexander Demetre Nicoloff, MD - Medicare Vascular Surgery in Portland, OR