Kolo Nicholas Ediale, MD in Monticello, NY - Medicare Internal Medicine

Kolo Nicholas Ediale, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Monticello, New York. His current practice location is 68 Harris Bushville Road, Monticello, New York. You can reach out to his office (for appointments etc.) via phone at (845) 794-5335.

Kolo Nicholas Ediale is licensed to practice in New York (license number 220907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780684738.

Contact Information

	Kolo Nicholas Ediale, MD
	68 Harris Bushville Road, Monticello, NY 12701
	(845) 794-5335
	(845) 791-4136

Map and Direction

Physician's Profile

Full Name	Kolo Nicholas Ediale
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	68 Harris Bushville Road, Monticello, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780684738
Provider Enumeration Date: 07/29/2005
Last Update Date: 05/13/2016

Medicare PECOS Information:

PECOS PAC ID: 5799708780
Enrollment ID: I20060104001027

Medical Identifiers

Medical identifiers for Kolo Nicholas Ediale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780684738	NPI	-	NPPES
02155622	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	220907 (New York)	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. Kolo Nicholas Ediale allows following entities to bill medicare on his behalf.

Entity Name	Middletown Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902855828 PECOS PAC ID: 2567464308 Enrollment ID: O20070208000144

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. Kolo Nicholas Ediale 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
Kolo Nicholas Ediale, MD 68 Harris Bushville Rd, Harris, NY 12742 Ph: (845) 794-9864	Kolo Nicholas Ediale, MD 68 Harris Bushville Road, Monticello, NY 12701 Ph: (845) 794-5335

Reviews and Comments

Internal Medicine Doctors in Monticello, NY

Dr. Jeffrey Ross Weinstein, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 64 Jefferson St, Suite 2, Monticello, NY 12701 Phone: 845-791-6400 Fax: 845-791-6406
Dr. Juan Domingo Goyzueta, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 139 Forestburgh Rd, Monticello, NY 12701 Phone: 845-791-1624 Fax: 845-791-1689
Jonathan R. Weiss, MD, FCCP Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 518 Broadway, Monticello, NY 12701 Phone: 845-794-1600 Fax: 845-794-0749
Sheldon D. Leidner, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 518 Broadway, Monticello, NY 12701 Phone: 845-794-1600 Fax: 845-794-0749
Gary C Garfield, DO Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 518 Broadway, Monticello, NY 12701 Phone: 845-794-1600 Fax: 845-794-0749
Katherine Seibert, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 23 Lakewood Ave, Hudson River Healthcare, Monticello, NY 12701 Phone: 845-794-2010 Fax: 845-794-4569

Kolo Nicholas Ediale, MD - Medicare Internal Medicine in Monticello, NY