Nicole Brianna Cerklewich, DO in Champlain, NY

Nicole Brianna Cerklewich, DO is a medicare enrolled "Family Medicine" physician in Champlain, New York. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hudson Headwaters Health Network and her current practice location is 828 State Route 11, Champlain, New York. You can reach out to her office (for appointments etc.) via phone at (518) 298-2691.

Nicole Brianna Cerklewich is licensed to practice in New York (license number 272368) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871889105.

Contact Information

	Nicole Brianna Cerklewich, DO
	828 State Route 11, Champlain, NY 12919-4966
	(518) 298-2691
	(518) 298-8421

Map and Direction

Physician's Profile

Full Name	Nicole Brianna Cerklewich
Gender	Female
Speciality	Family Practice
Experience	14 Years
Location	828 State Route 11, Champlain, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Brianna Cerklewich attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2011

NPI Data:

NPI Number: 1871889105
Provider Enumeration Date: 06/24/2011
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7012135064
Enrollment ID: I20140904001029

Medical Identifiers

Medical identifiers for Nicole Brianna Cerklewich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871889105	NPI	-	NPPES
03921895	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	272368 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hcr / Hcr Home Care Chha (plattsburgh)	Plattsburgh, NY	Home health agency
Hospice Of The North Country Inc	Plattsburgh, NY	Hospice
Champlain Valley Physicians Hospital Medical Ctr	Plattsburgh, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hudson Headwaters Health Network	7416861208	182

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. Nicole Brianna Cerklewich allows following entities to bill medicare on her behalf.

Entity Name	Hudson Headwaters Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239

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. Nicole Brianna Cerklewich 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
Nicole Brianna Cerklewich, DO 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300	Nicole Brianna Cerklewich, DO 828 State Route 11, Champlain, NY 12919-4966 Ph: (518) 298-2691

Reviews and Comments

Family Medicine Doctors in Champlain, NY

Maurice A Racine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Aaron Esterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Candice Michelle Ciolac, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 481 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Stephanie Papaconstantinou, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Lisa Marie Skarling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241
Jessica S King, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 481 Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241

Nicole Brianna Cerklewich, DO - Medicare Family Practice in Champlain, NY