| Dr Timothy J Mcnicoll, MD | |
|
1180 Newfield Ave, Stamford, CT 06905-1409 | |
| (314) 888-5233 | |
| Not Available |
| Full Name | Dr Timothy J Mcnicoll |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 45 Years |
| Location | 1180 Newfield Ave, Stamford, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790750115 | NPI | - | NPPES |
| 00G481000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G48100 (California) | Secondary |
| 208M00000X | Hospitalist | G48100 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Simi Valley | Simi valley, CA | Hospital |
| West Hills Hospital & Medical Center | West hills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| Center For Family Health And Education Inc | 3678714201 | 13 |
| Hospital Medicine Of California Inc | 4688952906 | 22 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Entity Name | Tim Mcnicoll M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144475864 PECOS PAC ID: 1658434634 Enrollment ID: O20090117000035 |
| Entity Name | Center For Family Health And Education Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871853481 PECOS PAC ID: 3678714201 Enrollment ID: O20130724000805 |
| Entity Name | Hospital Medicine Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770037236 PECOS PAC ID: 4688952906 Enrollment ID: O20161020001556 |
| Entity Name | Chuck R Colas Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861022873 PECOS PAC ID: 6204267305 Enrollment ID: O20200505001484 |
| Entity Name | Menalam Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114594967 PECOS PAC ID: 7012319163 Enrollment ID: O20210712002579 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy J Mcnicoll, MD 89 Humboldt St, Simi Valley, CA 93065-5359 Ph: (805) 391-7722 | Dr Timothy J Mcnicoll, MD 1180 Newfield Ave, Stamford, CT 06905-1409 Ph: (314) 888-5233 |
Dr. Zhaohui Wang, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 032-767-2982 Fax: 203-276-4842 | |
Kuntal Pujara, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-7298 | |
Dr. Ernest Lee Retland Iii, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-7298 Fax: 203-276-4842 | |
Rebecca Streeter, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1177 Summer St, Stamford, CT 06905 Phone: 203-653-4321 Fax: 203-353-1133 | |
Christopher Robert Janowiecki, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-7298 Fax: 203-276-4842 | |
Suja Abraham, MD Hospitalist Medicare: Medicare Enrolled Practice Location: One Hospital Plaza, Stamford, CT 06904 Phone: 203-276-7831 Fax: 203-276-7548 | |
Dr. Brian A Timko, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-7298 Fax: 203-276-4842 |