Dr Mark Ryan Nikkel, DO is a medicare enrolled "Orthopaedic Surgery" physician in South Haven, Michigan. His current practice location is
955 S Bailey Ave, South Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 637-5271.
Dr Mark Ryan Nikkel is licensed to practice in Illinois (license number 36100980) 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 1699762336.
Physician's Profile
| Full Name | Dr Mark Ryan Nikkel |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 955 S Bailey Ave, South Haven, Michigan |
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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. |
Medical Education and Training:
- Dr Mark Ryan Nikkel attended and graduated from in
NPI Data:
- NPI Number: 1699762336
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mark Ryan Nikkel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699762336 | NPI | - | NPPES |
| 1023138633 | Other | IL | GROUP NPI NUMBER |
| 31622992 | Other | IL | BCBS |
| 036-100980 | Other | IL | STATE LICENSE NUMBER |
| 036100980 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 36100980 (Illinois) | Primary |
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 Mark Ryan Nikkel 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 Mark Ryan Nikkel, DO 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 637-5271 | Dr Mark Ryan Nikkel, DO 955 S Bailey Ave, South Haven, MI 49090-6743 Ph: (269) 637-5271 |
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