Jonathon K Nicholson, MD is a medicare enrolled "Pediatrics" physician in Defiance, Ohio. He went to Medical College Of Ohio and graduated in 2002 and has 24 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is
1400 E 2nd St Ste 100, Defiance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 783-3226.
Jonathon K Nicholson is licensed to practice in Michigan (license number 4301104162) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538167572.
Physician's Profile
| Full Name | Jonathon K Nicholson |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 24 Years |
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| Location | 1400 E 2nd St Ste 100, Defiance, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathon K Nicholson attended and graduated from Medical College Of Ohio in 2002
NPI Data:
- NPI Number: 1538167572
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810993342
- Enrollment ID: I20251216002668
Medical Identifiers
Medical identifiers for Jonathon K Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538167572 | NPI | - | NPPES |
| 0010639 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0000X | Internal Medicine - Adolescent Medicine | 35080078 (Ohio) | Secondary |
| 208000000X | Pediatrics | 4301104162 (Michigan) | Primary |
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. Jonathon K 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 |
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Jonathon K Nicholson, MD
1400 E 2nd St Ste 100,
Defiance, OH 43512-9905
Ph: (419) 783-3226 | Jonathon K Nicholson, MD
1400 E 2nd St Ste 100,
Defiance, OH 43512-9905
Ph: (419) 783-3226 |
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