Dr Theodore William Nicholas, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Kill Devil Hills, North Carolina. His current practice location is
3210 N. Croatan Hwy., Suite 3, Kill Devil Hills, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 261-5868.
Dr Theodore William Nicholas is licensed to practice in North Carolina (license number 2002-00059) 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 1427075506.
Physician's Profile
| Full Name | Dr Theodore William Nicholas |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 3210 N. Croatan Hwy., Kill Devil Hills, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427075506
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 07/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 3173525938
- Enrollment ID: I20120207000095
Medical Identifiers
Medical identifiers for Dr Theodore William Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427075506 | NPI | - | NPPES |
| B8563 | Other | NC | MEDCOST PROVIDER NUMBER |
| 131G4 | Other | NC | BC/BS NC PROVIDER NUMBER |
| 89131G4 | Medicaid | NC | |
| 299811 | Other | NC | UNITED PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 2002-00059 (North Carolina) | 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 Theodore William Nicholas allows following entities to bill medicare on his behalf.
| Entity Name | Atlantic Pain Management & Rehabilitation P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568529303
PECOS PAC ID: 4183626948
Enrollment ID: O20070207000170 |
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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 Theodore William Nicholas 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 |
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Dr Theodore William Nicholas, MD
3210 N. Croatan Hwy., Suite 3,
Kill Devil Hills, NC 27948
Ph: (252) 261-5868 | Dr Theodore William Nicholas, MD
3210 N. Croatan Hwy., Suite 3,
Kill Devil Hills, NC 27948
Ph: (252) 261-5868 |
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