Michael Nicksic, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. He went to University Of Louisville School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Blue Ridge Radiology Pc, Blue Ridge Radiology Pc and his current practice location is
1215 Lee St Box 800377, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-9400.
Michael Nicksic is licensed to practice in Virginia (license number 0116038831) 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 1346779907.
Physician's Profile
| Full Name | Michael Nicksic |
|---|
| Gender | Male |
|---|
| Speciality | Diagnostic Radiology |
|---|
| Experience | 7 Years |
|---|
| Location | 1215 Lee St Box 800377, Charlottesville, Virginia |
|---|
| 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:
- Michael Nicksic attended and graduated from University Of Louisville School Of Medicine in 2018
NPI Data:
- NPI Number: 1346779907
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 06/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446673347
- Enrollment ID: I20250318003334
Medical Identifiers
Medical identifiers for Michael Nicksic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346779907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35.140897 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0116038831 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Blue Ridge Radiology Pc | 7416860473 | 70 |
| Blue Ridge Radiology Pc | 7416860473 | 70 |
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. Michael Nicksic allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Radiology Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1881687689
PECOS PAC ID: 7416860473
Enrollment ID: O20031106000638 |
|---|
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 Nicksic 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 |
|---|
Michael Nicksic, MD
1215 Lee St Box 800377,
Charlottesville, VA 22908-0816
Ph: (434) 924-9400 | Michael Nicksic, MD
1215 Lee St Box 800377,
Charlottesville, VA 22908-0816
Ph: (434) 924-9400 |
Reviews and Comments