Dr Leroy Nickles, MD in New York, NY - Medicare Emergency Medicine

Dr Leroy Nickles, MD is a medicare enrolled "Emergency Medicine" physician in New York, New York. He went to Pennsylvania State University College Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physician Services Of New Jersey,professional Association and his current practice location is 170 W 12th St, Emergency Dept Administration, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 604-2590.

Dr Leroy Nickles is licensed to practice in New York (license number 236503) 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 1710070412.

Contact Information

	Dr Leroy Nickles, MD
	170 W 12th St, Emergency Dept Administration, New York, NY 10011-8202
	(212) 604-2590
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Leroy Nickles
Gender	Male
Speciality	Emergency Medicine
Experience	23 Years
Location	170 W 12th St, New York, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Leroy Nickles attended and graduated from Pennsylvania State University College Of Medicine in 2002

NPI Data:

NPI Number: 1710070412
Provider Enumeration Date: 10/02/2006
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4284690025
Enrollment ID: I20100316000165

Medical Identifiers

Medical identifiers for Dr Leroy Nickles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710070412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD425081 (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	4301511279 (Michigan)	Secondary
207P00000X	Emergency Medicine	236503 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lehigh Valley Hospital - Pocono	East stroudsburg, PA	Hospital
Holy Name Medical Center	Teaneck, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Physician Services Of New Jersey,professional Association	1052554177	48

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 Leroy Nickles allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physician Associates Of South Jersey P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215965231 PECOS PAC ID: 5294648457 Enrollment ID: O20040824001263

Entity Name	Emergency Physician Associates Of North Jersey P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497783419 PECOS PAC ID: 7911992326 Enrollment ID: O20040825001558

Entity Name	New Jersey Medical And Health Associates,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558673582 PECOS PAC ID: 9133300791 Enrollment ID: O20110302000334

Entity Name	Emergency Physician Services Of New Jersey,professional Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831539568 PECOS PAC ID: 1052554177 Enrollment ID: O20130821000326

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 Leroy Nickles 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 Leroy Nickles, MD 870 Saint Nicholas Ave Apt D8, New York, NY 10032-5273 Ph: (212) 491-8725	Dr Leroy Nickles, MD 170 W 12th St, Emergency Dept Administration, New York, NY 10011-8202 Ph: (212) 604-2590

Reviews and Comments

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Dr Leroy Nickles, MD - Medicare Emergency Medicine in New York, NY