Alisa Louise Niksch, MD in Boston, MA

Alisa Louise Niksch, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Boston, Massachusetts. Her current practice location is 750 Washington St, The Floating Hospital For Children, #313, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 636-5067.

Alisa Louise Niksch is licensed to practice in Massachusetts (license number 243747) 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 1336232255.

Contact Information

	Alisa Louise Niksch, MD
	750 Washington St, The Floating Hospital For Children, #313, Boston, MA 02111-1526
	(617) 636-5067
	(617) 636-2354

Map and Direction

Physician's Profile

Full Name	Alisa Louise Niksch
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	750 Washington St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336232255
Provider Enumeration Date: 10/02/2006
Last Update Date: 02/11/2011

Medicare PECOS Information:

PECOS PAC ID: 6709883747
Enrollment ID: I20100721000704

Medical Identifiers

Medical identifiers for Alisa Louise Niksch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336232255	NPI	-	NPPES
243747	Medicaid	MA
036116468	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	036116468 (Illinois)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	243747 (Massachusetts)	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. Alisa Louise Niksch allows following entities to bill medicare on her behalf.

Entity Name	Pratt Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127

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. Alisa Louise Niksch 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
Alisa Louise Niksch, MD 750 Washington St, The Floating Hospital For Children, #313, Boston, MA 02111-1526 Ph: (617) 636-5067	Alisa Louise Niksch, MD 750 Washington St, The Floating Hospital For Children, #313, Boston, MA 02111-1526 Ph: (617) 636-5067

Reviews and Comments

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Alisa Louise Niksch, MD - Medicare Pediatrics in Boston, MA