Michael A Nicholas, DO is a
Internal Medicine - Interventional Cardiology physician based in Crete, Illinois. Michael A Nicholas is licensed to practice in Indiana (license number 02000901A) and his current practice location is 160 Cornwall Dr, Crete, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 297-0499.
NPI number for Michael A Nicholas is 1598740748 and his current mailing address is 160 Cornwall Dr, Crete, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598740748.
Physician's Profile
| Full Name | Michael A Nicholas |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine - Interventional Cardiology |
|---|
| Location | 160 Cornwall Dr, Crete, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598740748
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 01/20/2026
Medical Identifiers
Medical identifiers for Michael A Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598740748 | NPI | - | NPPES |
| 060030029 | Other | | RR MEDICARE |
| 000000095311 | Other | IN | ANTHEM PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 02000901A (Indiana) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 02000901A (Indiana) | 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. Michael A Nicholas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael A Nicholas, DO 160 Cornwall Dr, Crete, IL 60417-1006 Ph: (708) 297-0499 | Michael A Nicholas, DO 160 Cornwall Dr, Crete, IL 60417-1006 Ph: (708) 297-0499 |
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