Nicholas Levine, MD is a medicare enrolled "Neurological Surgery" physician in Moscow, Idaho. His current practice location is
803 S Main St Ste 320, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 883-1008.
Nicholas Levine is licensed to practice in Idaho (license number M-17459) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023229325.
Physician's Profile
| Full Name | Nicholas Levine |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 803 S Main St Ste 320, Moscow, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023229325
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325116734
- Enrollment ID: I20160908002004
Medical Identifiers
Medical identifiers for Nicholas Levine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023229325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | C143668 (California) | Secondary |
| 207T00000X | Neurological Surgery | M-17459 (Idaho) | Primary |
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. Nicholas Levine allows following entities to bill medicare on his behalf.
| Entity Name | Neurosurgical Associates Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083725220
PECOS PAC ID: 9032166319
Enrollment ID: O20050407001325 |
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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. Nicholas Levine 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 |
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Nicholas Levine, MD
803 S Main St Ste 320,
Moscow, ID 83843-2695
Ph: (208) 883-1008 | Nicholas Levine, MD
803 S Main St Ste 320,
Moscow, ID 83843-2695
Ph: (208) 883-1008 |
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