Nicolas Gillingham, MD in Mineola, NY

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 Name	Nicolas Gillingham
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	222 Station Plz N Fl 5, Mineola, New York
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1609338292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - 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 Name	Main Street Radiology At Bayside Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780771634 PECOS PAC ID: 5395732671 Enrollment ID: O20040428001019

Entity Name	Radiology Associates Of Main Street Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265529101 PECOS PAC ID: 5799677522 Enrollment ID: O20040824000320

Entity Name	Sunset Park Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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. Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698
Jonathan A Haas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 264 Old Country Rd, Mineola, NY 11501 Phone: 516-663-2501 Fax: 516-663-8558
Anca-oana Kranz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698
Dr. Seth Robert Blacksburg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Dept: Radiation Oncology, Mineola, NY 11501 Phone: 516-663-2501 Fax: 516-663-8558
Donald B Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698
Ahmad Hashmi, Radiology Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2376
Rakesh Aroon Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698

Nicolas Gillingham, MD - Medicare Radiology in Mineola, NY