| Dr Jeffrey Scott Nicklas, MD | |
|
1044 Belmont Ave, Youngstown, OH 44504-1006 | |
| (330) 480-3658 | |
| (330) 286-5396 |
| Full Name | Dr Jeffrey Scott Nicklas |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 1044 Belmont Ave, Youngstown, Ohio |
| 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 |
|---|---|---|---|
| 1295925535 | NPI | - | NPPES |
| 4119641 | Other | OH | MEDICARE PTAN |
| 11176372 | Other | CAQH | |
| 0056821 | Medicaid | OH | |
| 227307 | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MT190045 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | MD443825 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | 35.066875 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 137 |
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 137 |
| Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20200902001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Scott Nicklas, MD 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Dr Jeffrey Scott Nicklas, MD 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 480-3658 |
Dr. Charles Daniel Cammock, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
James A Bachmeier, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Bijo Jos Thomas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Frederick A. Peachman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439 | |
Dr. Heather C Eck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Youngstown, OH 44512 Phone: 330-729-2929 Fax: 330-286-5396 | |
Dr. Raymond George Malackany, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3622 Belmont Ave, Suite1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387 | |
Dr. Anthony James Candella Jr., DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Youngstown, OH 44512 Phone: 330-729-8000 Fax: 330-729-8084 |