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

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 NameMr George John Nickel
GenderMale
SpecialitySpeech-language Pathologist
Location97 Dawson Circle, Staten Island, New York
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1013146265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-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 NameSuperior Clinical Care Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI 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 AddressPractice 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
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Phone: 718-982-5971    
Mrs. Rachel Ahmed,
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Phone: 917-861-6706    
Ms. Christine Ann Sprufero, CCC - SLP
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Practice Location: 475 Seaview Ave, Staten Island, NY 10305
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Ms. Nicole Lee Ambrose,
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Practice Location: 1000 South Avenue, Staten Island, NY 10314
Phone: 718-477-0961    Fax: 718-761-1643
Ms. Kristina Sansone, MA
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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
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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    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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