Nicole Kendall Ward, DO is a medicare enrolled "Internal Medicine" physician in La Crescenta, California. Her current practice location is
2629 Foothill Blvd # 305, La Crescenta, California. You can reach out to her office (for appointments etc.) via phone at
(818) 806-8830.
Nicole Kendall Ward is licensed to practice in California (license number 18553) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366972564.
Physician's Profile
| Full Name | Nicole Kendall Ward |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 2629 Foothill Blvd # 305, La Crescenta, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366972564
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 09/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507246410
- Enrollment ID: I20220711003390
Medical Identifiers
Medical identifiers for Nicole Kendall Ward such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366972564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 18553 (California) | 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. Nicole Kendall Ward allows following entities to bill medicare on her behalf.
| Entity Name | Arthritis And Osteoporosis Medical Center, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245340231 PECOS PAC ID: 4789671066 Enrollment ID: O20040428001054 |
|---|
| Entity Name | Nicole Zagelbaum Ward A Professional Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366189938 PECOS PAC ID: 5698155505 Enrollment ID: O20220709000779 |
|---|
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. Nicole Kendall Ward 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 |
Nicole Kendall Ward, DO 2629 Foothill Blvd # 305, La Crescenta, CA 91214-3511 Ph: (310) 948-3987 | Nicole Kendall Ward, DO 2629 Foothill Blvd # 305, La Crescenta, CA 91214-3511 Ph: (818) 806-8830 |
Reviews and Comments