Grace Aurore Nicksa, MD in Los Angeles, CA

Grace Aurore Nicksa, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Los Angeles, California. Her current practice location is 200 Ucla Medical Plz Ste 265, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 206-2429.

Grace Aurore Nicksa is licensed to practice in California (license number A113138) 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 1528242294.

Contact Information

	Grace Aurore Nicksa, MD
	200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-5724
	(310) 206-2429
	Not Available

Map and Direction

Physician's Profile

Full Name	Grace Aurore Nicksa
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	200 Ucla Medical Plz Ste 265, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528242294
Provider Enumeration Date: 12/18/2007
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6507167301
Enrollment ID: I20151221002092

Medical Identifiers

Medical identifiers for Grace Aurore Nicksa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528242294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	234436 (Massachusetts)	Secondary
2086S0120X	Surgery - Pediatric Surgery	A113138 (California)	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. Grace Aurore Nicksa allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851357941 PECOS PAC ID: 1850382136 Enrollment ID: O20040524001351

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. Grace Aurore Nicksa 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
Grace Aurore Nicksa, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Grace Aurore Nicksa, MD 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-5724 Ph: (310) 206-2429

Reviews and Comments

Surgery Doctors in Los Angeles, CA

Dr. Peyman Benharash, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10833 Leconte Ave Room 62-215, Los Angeles, CA 90095 Phone: 310-206-6717 Fax: 310-206-5901
Mr. Willis H. Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048 Phone: 310-652-8132 Fax: 310-659-3815
Dr. Christian Jesus Ochoa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo Street, Suite 4300, Los Angeles, CA 90033 Phone: 323-442-5849 Fax: 323-442-5956
Dr. Jane Kim Yang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095 Phone: 310-206-6294 Fax: 310-794-9603
Laura Bloom, MD, MS, MBA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2051 Marengo Street, La General Medical Center, Inpatient Tower Room C5l100, Los Angeles, CA 90033 Phone: 510-589-3740
Dr. Kaushal Ramesh Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 San Pablo St, Suite 514, Los Angeles, CA 90033 Phone: 323-442-5988 Fax: 323-442-5735
Rosemary D Dearnley, RN Surgery Medicare: Not Enrolled in Medicare Practice Location: 10833 Le Conte Ave, Los Angeles, CA 90095 Phone: 310-825-9554

Grace Aurore Nicksa, MD - Medicare Surgery in Los Angeles, CA