| Morgan Nickerson, DO | |
|
132 Abigail Ln, Port Matilda, PA 16870-7153 | |
| (814) 272-5011 | |
| (814) 272-6531 |
| Full Name | Morgan Nickerson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 132 Abigail Ln, Port Matilda, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477073724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | OT017573 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | OS022752 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Morgan Nickerson, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Morgan Nickerson, DO 132 Abigail Ln, Port Matilda, PA 16870-7153 Ph: (814) 272-5011 |
Can Bas, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531 | |
Nigel W Sparks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531 |