Elizabeth Demos Nicholson, MD in Salt Lake City, UT

Elizabeth Demos Nicholson, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. She went to University Of Connecticut School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Utah Emergency Physicians and her current practice location is 5121 S. Cottonwood Street, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 269-2500.

Elizabeth Demos Nicholson is licensed to practice in Utah (license number 6623361-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245262229.

Contact Information

	Elizabeth Demos Nicholson, MD
	5121 S. Cottonwood Street, Salt Lake City, UT 84157
	(801) 269-2500
	(801) 269-2690

Map and Direction

Physician's Profile

Full Name	Elizabeth Demos Nicholson
Gender	Female
Speciality	Emergency Medicine
Experience	22 Years
Location	5121 S. Cottonwood Street, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Demos Nicholson attended and graduated from University Of Connecticut School Of Medicine in 2002

NPI Data:

NPI Number: 1245262229
Provider Enumeration Date: 07/07/2006
Last Update Date: 05/24/2011

Medicare PECOS Information:

PECOS PAC ID: 6103821459
Enrollment ID: I20080128000274

Medical Identifiers

Medical identifiers for Elizabeth Demos Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245262229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A86767 (California)	Secondary
207P00000X	Emergency Medicine	6623361-1205 (Utah)	Primary
207P00000X	Emergency Medicine	6623361-8905 (Utah)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Medical Center	Murray, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utah Emergency Physicians	1153307277	125

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. Elizabeth Demos Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Utah Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Elizabeth Demos Nicholson 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
Elizabeth Demos Nicholson, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 269-2500	Elizabeth Demos Nicholson, MD 5121 S. Cottonwood Street, Salt Lake City, UT 84157 Ph: (801) 269-2500

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Elizabeth Demos Nicholson, MD - Medicare Emergency Medicine in Salt Lake City, UT