Dr Kieran Joseph Nicholson, MD in Burr Ridge, IL

Dr Kieran Joseph Nicholson, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Burr Ridge, Illinois. His current practice location is 7803 Drew Ave, Burr Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 650-8392.

Dr Kieran Joseph Nicholson is licensed to practice in Illinois (license number 036-076743) 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 1205843653.

Contact Information

	Dr Kieran Joseph Nicholson, MD
	7803 Drew Ave, Burr Ridge, IL 60527-6946
	(630) 650-8392
	(630) 317-3310

Map and Direction

Physician's Profile

Full Name	Dr Kieran Joseph Nicholson
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	7803 Drew Ave, Burr Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205843653
Provider Enumeration Date: 08/01/2006
Last Update Date: 11/29/2010

Medicare PECOS Information:

PECOS PAC ID: 9335105584
Enrollment ID: I20230421000940

Medical Identifiers

Medical identifiers for Dr Kieran Joseph Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205843653	NPI	-	NPPES
036076743	Medicaid	IL
036076743	Other	IL	BC/BS
110216107	Other	IL	RAILROAD MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	036-076743 (Illinois)	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 Kieran Joseph Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

Entity Name	Ascension Ne Wisconsin, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037

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 Kieran Joseph 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 Kieran Joseph Nicholson, MD 7803 Drew Ave, Burr Ridge, IL 60527-6946 Ph: (630) 650-8392	Dr Kieran Joseph Nicholson, MD 7803 Drew Ave, Burr Ridge, IL 60527-6946 Ph: (630) 650-8392

Reviews and Comments

Internal Medicine Doctors in Burr Ridge, IL

Chad T Whelan, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064
Dr. Vyjayanthi Atluri, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6101 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-686-9000
Alan R Leff, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064
Jayant Malhotra, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 25 Rodeo Dr, Burr Ridge, IL 60527 Phone: 630-789-6618
Edgar Davila, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 124 79th St, Burr Ridge, IL 60527 Phone: 773-641-2037
William Stoecker, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 901 Mcclintock Dr Ste 202, Burr Ridge, IL 60527 Phone: 888-220-6432
Sarah H Glavin, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064

Dr Kieran Joseph Nicholson, MD - Medicare Internal Medicine in Burr Ridge, IL