| David Darwin Nicolaou, MD | |
|
550 Munson Ave, Traverse City, MI 49686-3580 | |
| (231) 935-8710 | |
| Not Available |
| Full Name | David Darwin Nicolaou |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 550 Munson Ave, Traverse City, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184676181 | NPI | - | NPPES |
| 104957619 | Medicaid | MI | |
| 131961200 | Medicaid | MD | |
| DN084991 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | D45394 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | 4301084991 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paul Oliver Memorial Hospital | Frankfort, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Interlochen Emergency Group Pc | 3577918606 | 45 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
| Entity Name | Paul Oliver Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427054360 PECOS PAC ID: 8628964848 Enrollment ID: O20040225000359 |
| Entity Name | Kalkaska Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013183060 PECOS PAC ID: 3577536002 Enrollment ID: O20040813000668 |
| Entity Name | Interlochen Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336821495 PECOS PAC ID: 3577918606 Enrollment ID: O20231010002820 |
| Mailing Address | Practice Location Address |
|---|---|
| David Darwin Nicolaou, MD 2971 Crescent Shores Dr, Traverse City, MI 49684-9643 Ph: (231) 933-1540 | David Darwin Nicolaou, MD 550 Munson Ave, Traverse City, MI 49686-3580 Ph: (231) 935-8710 |
Bevin Clayton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dale C Blum, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Dr. Brandi Jenks Gunn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
Richard G Faller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 Fax: 801-740-2847 | |
David Shapiro, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-395-6333 Fax: 801-740-2847 | |
Juhn Mark Han, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-947-0673 |