Mr Ryan David Nicklas, MD - Medicare Anesthesiology in Wpafb, OH

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Mr Ryan David Nicklas, MD is a medicare enrolled "Anesthesiology" physician in Wpafb, Ohio. His current practice location is 4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at (376) 302-1619.

Mr Ryan David Nicklas is licensed to practice in Ohio (license number 35.149304) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770075533.

Contact Information

Mr Ryan David Nicklas, MD
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529
(376) 302-1619
Not Available

Map and Direction




Physician's Profile

Full NameMr Ryan David Nicklas
GenderMale
SpecialityAnesthesiology
Location4881 Sugar Maple Dr, Wpafb, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770075533
  • Provider Enumeration Date: 06/06/2018
  • Last Update Date: 10/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931459468
  • Enrollment ID: I20231016001205

Medical Identifiers

Medical identifiers for Mr Ryan David Nicklas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770075533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 010050 (Georgia)Secondary
207L00000XAnesthesiology MD476020 (Pennsylvania)Secondary
207L00000XAnesthesiology 35.149304 (Ohio)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. Mr Ryan David Nicklas allows following entities to bill medicare on his behalf.
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Mr Ryan David Nicklas 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 AddressPractice Location Address
Mr Ryan David Nicklas, MD
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529

Ph: (937) 630-2161		Mr Ryan David Nicklas, MD
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529

Ph: (376) 302-1619

Reviews and Comments


Anesthesiology Doctors in Wpafb, OH

Geoffrey Thomas, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 937-257-3098    
Dr. Stefani Lorane Diedrich, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 937-630-2161    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.