Nicolas Gillingham, MD - Medicare Radiology in Mineola, NY

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Nicolas Gillingham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mineola, New York. His current practice location is 222 Station Plz N Fl 5, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-2521.

Nicolas Gillingham is licensed to practice in New York (license number 321734) 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 1609338292.

Contact Information

Nicolas Gillingham, MD
222 Station Plz N Fl 5,
Mineola, NY 11501-3800
(516) 663-2521
(516) 663-9665

Map and Direction




Physician's Profile

Full NameNicolas Gillingham
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location222 Station Plz N Fl 5, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609338292
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 06/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759722127
  • Enrollment ID: I20241113002968

Medical Identifiers

Medical identifiers for Nicolas Gillingham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609338292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 321734 (New York)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. Nicolas Gillingham allows following entities to bill medicare on his behalf.
Entity NameNorth Shore Hematology Oncology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766
Entity NameMain Street Radiology At Bayside Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780771634
PECOS PAC ID: 5395732671
Enrollment ID: O20040428001019
Entity NameRadiology Associates Of Main Street Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265529101
PECOS PAC ID: 5799677522
Enrollment ID: O20040824000320
Entity NameSunset Park Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629713672
PECOS PAC ID: 6608247291
Enrollment ID: O20230118001304

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. Nicolas Gillingham 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 AddressPractice Location Address
Nicolas Gillingham, MD
5645 Main St,
Flushing, NY 11355-5045

Ph: () -		Nicolas Gillingham, MD
222 Station Plz N Fl 5,
Mineola, NY 11501-3800

Ph: (516) 663-2521

Reviews and Comments


Radiology Doctors in Mineola, NY

Dr. Joseph Patrick Mazzie, D.O.
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Jonathan A Haas, MD
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Anca-oana Kranz, MD
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Dr. Seth Robert Blacksburg, M.D.
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Donald B Price, MD
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Ahmad Hashmi,
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Rakesh Aroon Shah, MD
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Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501
Phone: 516-663-4510    Fax: 516-663-3698

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.