Eileen Nikko Super, MD in Miramar, FL

Eileen Nikko Super, MD is a medicare enrolled "Surgery" physician in Miramar, Florida. Her current practice location is 3601 Sw 160th Ave, Suite 250, Miramar, Florida. You can reach out to her office (for appointments etc.) via phone at (877) 866-7123.

Eileen Nikko Super is licensed to practice in Georgia (license number 74602) 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 1124465067.

Contact Information

	Eileen Nikko Super, MD
	3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308
	(877) 866-7123
	(855) 855-2792

Map and Direction

Physician's Profile

Full Name	Eileen Nikko Super
Gender	Female
Speciality	Surgery
Location	3601 Sw 160th Ave, Miramar, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124465067
Provider Enumeration Date: 06/02/2013
Last Update Date: 08/26/2016

Medicare PECOS Information:

PECOS PAC ID: 7719126762
Enrollment ID: I20160111000194

Medical Identifiers

Medical identifiers for Eileen Nikko Super such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124465067	NPI	-	NPPES
74602	Other	GA	GEORGIA COMPOSITE MEDICAL BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	74602 (Georgia)	Primary
207Q00000X	Family Medicine	74602 (Georgia)	Secondary

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. Eileen Nikko Super allows following entities to bill medicare on her behalf.

Entity Name	Vohra Wound Physicians Of Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598061293 PECOS PAC ID: 6406039882 Enrollment ID: O20110401000812

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. Eileen Nikko Super 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
Eileen Nikko Super, MD 936 Broad St, Unit 303, Augusta, GA 30901-8200 Ph: (801) 916-1782	Eileen Nikko Super, MD 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 Ph: (877) 866-7123

Reviews and Comments

Surgery Doctors in Miramar, FL

Dr. Suryanarayan Jairaj, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123
Vicki Tsai, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123
Marty W Shields, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 954-399-4645 Fax: 855-855-2792
Dr. Bernard L Burgess Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 954-399-4645 Fax: 855-855-2792
Ms. Angela M Crawford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 Phone: 954-399-4673
Alberto Rafael Iglesias Vergara, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1951 Sw 172nd Ave, Suite 408, Miramar, FL 33029 Phone: 954-538-5470 Fax: 954-538-5477
Lori C Lee, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123

Eileen Nikko Super, MD - Medicare Surgery in Miramar, FL