| Nicos Nicolaou, MD | |
|
1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 | |
| (610) 632-4100 | |
| (610) 668-1004 |
| Full Name | Nicos Nicolaou |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 41 Years |
| Location | 1 Presidential Blvd, Bala Cynwyd, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619998085 | NPI | - | NPPES |
| 0016207530002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD053676L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centers For Advanced Urology Llp | 3274800941 | 113 |
| Entity Name | Centers For Advanced Urology, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811351083 PECOS PAC ID: 3274800941 Enrollment ID: O20170531000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicos Nicolaou, MD 1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 Ph: (610) 632-4100 | Nicos Nicolaou, MD 1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 Ph: (610) 632-4100 |
Sheldon Warren Gross, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 191 Presidential Blvd, Unit 217, Bala Cynwyd, PA 19004 Phone: 856-661-5473 Fax: 856-661-5470 | |
Joel Andrew Wolf, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 127 Maple Ave, Bala Cynwyd, PA 19004 Phone: 347-543-9068 | |
Atul Gupta, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 40 Clwyd Rd, Bala Cynwyd, PA 19004 Phone: 215-421-8876 | |
Dr. Robert A Goren, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 E City Ave, Bala Cynwyd, PA 19004 Phone: 610-668-3505 Fax: 610-668-3509 |