Dr Nicole A Patino, MD in Philadelphia, PA

Dr Nicole A Patino, MD is a medicare enrolled "Surgery" physician in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, 4th Floor Parkinson Suite# 451, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3632.

Dr Nicole A Patino is licensed to practice in Pennsylvania (license number MT193961) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366688913.

Contact Information

	Dr Nicole A Patino, MD
	3401 N Broad St, 4th Floor Parkinson Suite# 451, Philadelphia, PA 19140-5103
	(215) 707-3632
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicole A Patino
Gender	Female
Speciality	Surgery
Location	3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366688913
Provider Enumeration Date: 01/05/2009
Last Update Date: 07/25/2013

Medicare PECOS Information:

PECOS PAC ID: 4981854593
Enrollment ID: I20121017000107

Medical Identifiers

Medical identifiers for Dr Nicole A Patino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366688913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MT193961 (Pennsylvania)	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 Nicole A Patino allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	American Current Care Of Illinois Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285071241 PECOS PAC ID: 6002040276 Enrollment ID: O20131002000446

Entity Name	Ameriwound Physicians Il Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079

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 Nicole A Patino 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 Nicole A Patino, MD Po Box 6002 -ncw-4, Urbana, IL 61803-6002 Ph: (217) 383-6792	Dr Nicole A Patino, MD 3401 N Broad St, 4th Floor Parkinson Suite# 451, Philadelphia, PA 19140-5103 Ph: (215) 707-3632

Reviews and Comments

Surgery Doctors in Philadelphia, PA

Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485
Dr. Cassandra Alys Ligh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-2208 Fax: 267-425-9552
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800
James Sun, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-854-9799
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639

Dr Nicole A Patino, MD - Medicare Surgery in Philadelphia, PA