Mateo F Nicholson, DO in Fort Wayne, IN - Medicare Physical Medicine And Rehabilitation

Mateo F Nicholson, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fort Wayne, Indiana. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2019 and has 6 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Parkview Health System Inc and his current practice location is 2231 Carew St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-6780.

Mateo F Nicholson is licensed to practice in Indiana (license number 02007853A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659833366.

Contact Information

	Mateo F Nicholson, DO
	2231 Carew St, Fort Wayne, IN 46805-4713
	(260) 425-6780
	(260) 373-9225

Map and Direction

Physician's Profile

Full Name	Mateo F Nicholson
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	6 Years
Location	2231 Carew St, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mateo F Nicholson attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2019

NPI Data:

NPI Number: 1659833366
Provider Enumeration Date: 04/02/2019
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2668897687
Enrollment ID: I20240821003832

Medical Identifiers

Medical identifiers for Mateo F Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659833366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125074919 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	33866 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Wisconsin)	Secondary
208100000X	Physical Medicine & Rehabilitation	02007853A (Indiana)	Primary
390200000X	Student In An Organized Health Care Education/training Program	75957-21 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Health System Inc	2163336967	1196

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. Mateo F Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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. Mateo F 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
Mateo F Nicholson, DO 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Mateo F Nicholson, DO 2231 Carew St, Fort Wayne, IN 46805-4713 Ph: (260) 425-6780

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Fort Wayne, IN

David S Stensland, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7201 Engle Rd, Fort Wayne, IN 46804 Phone: 260-432-1800 Fax: 260-432-1804
Mr. Jeremy R. Gall, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-2620
Elijah Klepper, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Sayed E. Wahezi, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845 Phone: 260-459-7313 Fax: 260-436-0628
Elisha Lynn Hardesty, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439
Delaney Faith Werling, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-3202
Ronald Lee Bonfiglio, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7970 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-6100

Mateo F Nicholson, DO - Medicare Physical Medicine And Rehabilitation in Fort Wayne, IN