Dr Nicholas Lee Nussbaum, MD in Fort Wayne, IN

Dr Nicholas Lee Nussbaum, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adams County Memorial Hospital and his current practice location is 1819 Carew St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 373-7770.

Dr Nicholas Lee Nussbaum is licensed to practice in Indiana (license number 01063067A) 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 1720107824.

Contact Information

	Dr Nicholas Lee Nussbaum, MD
	1819 Carew St, Fort Wayne, IN 46805-4705
	(260) 373-7770
	(260) 373-7775

Map and Direction

Physician's Profile

Full Name	Dr Nicholas Lee Nussbaum
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	1819 Carew St, Fort Wayne, Indiana
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 Nicholas Lee Nussbaum attended and graduated from Indiana University School Of Medicine in 2005

NPI Data:

NPI Number: 1720107824
Provider Enumeration Date: 03/28/2007
Last Update Date: 04/03/2026

Medicare PECOS Information:

PECOS PAC ID: 9830262070
Enrollment ID: I20080721000535

Medical Identifiers

Medical identifiers for Dr Nicholas Lee Nussbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720107824	NPI	-	NPPES
200970670	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01063067A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adams County Memorial Hospital	0941198253	83

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 Nicholas Lee Nussbaum allows following entities to bill medicare on his behalf.

Entity Name	Adams County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689696148 PECOS PAC ID: 0941198253 Enrollment ID: O20041001000326

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 Nicholas Lee Nussbaum 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 Nicholas Lee Nussbaum, MD 205 Tower Dr, Monroe, IN 46772-9362 Ph: (260) 692-6163	Dr Nicholas Lee Nussbaum, MD 1819 Carew St, Fort Wayne, IN 46805-4705 Ph: (260) 373-7770

Reviews and Comments

Family Medicine Doctors in Fort Wayne, IN

Rebecca Mason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8233 Glencarin Blvd, Fort Wayne, IN 46804 Phone: 260-425-5470 Fax: 260-425-5475
Anthony D Dennis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-637-1661 Fax: 260-637-1601
Dr. Charles R Pattan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-266-8941
Gregory L Chupp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065
Courtney Marie Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6507 E State Blvd, Fort Wayne, IN 46815 Phone: 260-486-3300 Fax: 260-485-3600
Dr. Mary Ann O'brien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-496-6602 Fax: 260-969-3065
Brian A. Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825 Phone: 260-458-3760 Fax: 260-458-3761

Dr Nicholas Lee Nussbaum, MD - Medicare Family Practice in Fort Wayne, IN