Dr David Scott Nicholson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Bellbrook, Ohio. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2001 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is
4403 State Route 725 Ste A1, Bellbrook, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 310-1218.
Dr David Scott Nicholson is licensed to practice in Ohio (license number 34008874) 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 1639250145.
Physician's Profile
| Full Name | Dr David Scott Nicholson |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 24 Years |
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| Location | 4403 State Route 725 Ste A1, Bellbrook, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David Scott Nicholson attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2001
NPI Data:
- NPI Number: 1639250145
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810996204
- Enrollment ID: I20061213000005
Medical Identifiers
Medical identifiers for Dr David Scott Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639250145 | NPI | - | NPPES |
| 2701213 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 34008874 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kettering Independent Medical Group Inc | 3173710936 | 602 |
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 David Scott Nicholson allows following entities to bill medicare on his behalf.
| Entity Name | Kettering Independent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425 |
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| Entity Name | David Nicholson Do Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285076380
PECOS PAC ID: 5092959148
Enrollment ID: O20130911000864 |
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| Entity Name | Pediatrix Medical Group Of Ohio Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467559179
PECOS PAC ID: 2365672730
Enrollment ID: O20140304000984 |
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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 David Scott Nicholson 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 David Scott Nicholson, DO
4403 State Route 725 Ste A1,
Bellbrook, OH 45305-2700
Ph: (937) 310-1218 | Dr David Scott Nicholson, DO
4403 State Route 725 Ste A1,
Bellbrook, OH 45305
Ph: (937) 310-1218 |
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