Dr Anthony Paul Nicolaysen, MD in Garden Grove, CA

Dr Anthony Paul Nicolaysen, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Garden Grove, California. His current practice location is 12665 Garden Grove Blvd Ste 211, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at (503) 494-8311.

Dr Anthony Paul Nicolaysen is licensed to practice in California (license number A174994) 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 1154869576.

Contact Information

	Dr Anthony Paul Nicolaysen, MD
	12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916
	(503) 494-8311
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Anthony Paul Nicolaysen
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	12665 Garden Grove Blvd Ste 211, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154869576
Provider Enumeration Date: 02/06/2017
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 7416295639
Enrollment ID: I20230728001049

Medical Identifiers

Medical identifiers for Dr Anthony Paul Nicolaysen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154869576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A174994 (California)	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. Dr Anthony Paul Nicolaysen allows following entities to bill medicare on his behalf.

Entity Name	Southern California Kidney Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205934783 PECOS PAC ID: 6103811286 Enrollment ID: O20040417000613

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 Anthony Paul Nicolaysen 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 Anthony Paul Nicolaysen, MD 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 Ph: (714) 636-2890	Dr Anthony Paul Nicolaysen, MD 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 Ph: (503) 494-8311

Reviews and Comments

Internal Medicine Doctors in Garden Grove, CA

Dr. Tinh Tran, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7761 Garden Grove Blvd, Garden Grove, CA 92841 Phone: 714-898-8888 Fax: 714-901-7580
Dr. Benjamin Navarro, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-636-7852 Fax: 714-636-0928
Mrs. Adriana Cervantes Longo, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 12100 Euclid St, 3rd Floor, Garden Grove, CA 92840 Phone: 714-741-3685
Dr. Sarah Jean Strube, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 13278 Woodbrook Cir, Garden Grove, CA 92844 Phone: 714-383-2250
Michael S Finney, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 12555 Garden Grove Blvd, Ste 405, Garden Grove, CA 92843 Phone: 714-530-8042
Dr. Se-young Lee, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12665 Garden Grove Blvd Ste 203, Garden Grove, CA 92843 Phone: 714-468-5490
Steve Bui, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843 Phone: 714-636-2890

Dr Anthony Paul Nicolaysen, MD - Medicare Internal Medicine in Garden Grove, CA