Krystyna Mcnicoll, MD in Pacific Palisades, CA

Krystyna Mcnicoll, MD is a medicare enrolled "Family Medicine" physician in Pacific Palisades, California. She went to University Of California, Geffen School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is 881 Alma Real Dr Ste 101, Pacific Palisades, California. You can reach out to her office (for appointments etc.) via phone at (310) 829-8923.

Krystyna Mcnicoll is licensed to practice in California (license number A42084) 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 1750392247.

Contact Information

	Krystyna Mcnicoll, MD
	881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792
	(310) 829-8923
	(424) 212-5936

Map and Direction

Physician's Profile

Full Name	Krystyna Mcnicoll
Gender	Female
Speciality	Family Practice
Experience	42 Years
Location	881 Alma Real Dr Ste 101, Pacific Palisades, California
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:

Krystyna Mcnicoll attended and graduated from University Of California, Geffen School Of Medicine in 1982

NPI Data:

NPI Number: 1750392247
Provider Enumeration Date: 08/10/2006
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7416929872
Enrollment ID: I20040807000231

Medical Identifiers

Medical identifiers for Krystyna Mcnicoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750392247	NPI	-	NPPES
00A420840	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A42084 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital
Providence Saint John's Health Center	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Saint Johns Medical Foundation	0840548624	315

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. Krystyna Mcnicoll allows following entities to bill medicare on her behalf.

Entity Name	Pacific Palisades Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215037049 PECOS PAC ID: 1153393517 Enrollment ID: O20040806001220

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Krystyna Mcnicoll 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
Krystyna Mcnicoll, MD 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 Ph: () -	Krystyna Mcnicoll, MD 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 Ph: (310) 829-8923

Reviews and Comments

Family Medicine Doctors in Pacific Palisades, CA

Dr. Nilofar Sanaiha, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272 Phone: 310-459-2363
Dr. Jeffrey Alan Tipton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15150 W Sunset Blvd, Pacific Palisades, CA 90272 Phone: 213-952-9723
Mrs. Ericka Marie Gair, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272 Phone: 310-459-7736 Fax: 310-230-0284
Dr. Devora Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272 Phone: 310-829-8923 Fax: 424-212-5936
Erin Lynne Imler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 214, Pacific Palisades, CA 90272 Phone: 310-459-2363
Dr. Grace Morgan Tassa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272 Phone: 310-829-8923 Fax: 424-212-5936
Dr. Alexandra Titone, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 910 Via De La Paz Ste 100, Pacific Palisades, CA 90272 Phone: 310-459-1901

Krystyna Mcnicoll, MD - Medicare Family Practice in Pacific Palisades, CA