Dr Smita S Nikam, MD - Medicare Internal Medicine in Wilkes Barre, PA

Dr Smita S Nikam, MD is a medicare enrolled "Internal Medicine" physician in Wilkes Barre, Pennsylvania. Her current practice location is 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 820-6114.

Dr Smita S Nikam is licensed to practice in Pennsylvania (license number MD432393) 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 1013198035.

Contact Information

Dr Smita S Nikam, MD
1000 E Mountain Blvd,
Wilkes Barre, PA 18711-0027
(570) 820-6114
(570) 826-7698

Map and Direction




Physician's Profile

Full NameDr Smita S Nikam
GenderFemale
SpecialityInternal Medicine
Location1000 E Mountain Blvd, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013198035
  • Provider Enumeration Date: 11/19/2007
  • Last Update Date: 11/19/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6800986597
  • Enrollment ID: I20221228001418

Medical Identifiers

Medical identifiers for Dr Smita S Nikam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013198035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD432393 (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 Smita S Nikam allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568841930
PECOS PAC ID: 2264691070
Enrollment ID: O20151112000217

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 Smita S Nikam 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
Dr Smita S Nikam, MD
100 N Academy Ave,
Danville, PA 17822-3034

Ph: (570) 271-6144
Dr Smita S Nikam, MD
1000 E Mountain Blvd,
Wilkes Barre, PA 18711-0027

Ph: (570) 820-6114

Reviews and Comments


Internal Medicine Doctors in Wilkes Barre, PA

Dr. Paul Michael Rutkowski, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 575 N River St, Wilkes Barre, PA 18764
Phone: 570-552-4450    
Dr. Paul Anthony Arkless, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Dr, Pulmonary Department, Wilkes Barre, PA 18711
Phone: 570-808-5770    
Dr. Lida Eatedali, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1111 East End Blvd, Vamc., Wilkes Barre, PA 18711
Phone: 570-824-3521    
Dr. Sanjaykumar Doshi, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Va Medical Center, 1111 East End Blvd, Wilkes Barre, PA 18702
Phone: 570-824-3521    
Carol L Myers, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711
Phone: 570-808-6444    Fax: 570-808-5040
Patrick Michael Aquilina, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 545 N River St Ste 240, Wilkes Barre, PA 18702
Phone: 570-819-2825    Fax: 570-819-1445

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.