| Peter J Nicholson, MD | |
|
207 Foote Ave, Jamestown, NY 14701-7077 | |
| (716) 664-9731 | |
| (716) 664-9160 |
| Full Name | Peter J Nicholson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 207 Foote Ave, Jamestown, New York |
| 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 |
|---|---|---|---|
| 1225006901 | NPI | - | NPPES |
| 02391995 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 176670-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westfield Memorial Hospital, Inc | Westfield, NY | Hospital |
| Saint Vincent Hospital | Erie, PA | Hospital |
| Jefferson Hospital | Jefferson hills, PA | Hospital |
| Forbes Hospital | Monroeville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chautauqua Medical Practice Pc | 5294920203 | 88 |
| Allegheny Clinic Radiology | 8426364738 | 153 |
| Allegheny Clinic Radiology | 8426364738 | 153 |
| Entity Name | Chautauqua Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922181767 PECOS PAC ID: 5294920203 Enrollment ID: O20101116000137 |
| Entity Name | Allegheny Clinic Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992183164 PECOS PAC ID: 8426364738 Enrollment ID: O20191204000893 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Nicholson, MD Po Box 788, Jamestown, NY 14702-0788 Ph: (716) 664-9731 | Peter J Nicholson, MD 207 Foote Ave, Jamestown, NY 14701-7077 Ph: (716) 664-9731 |
Surjeet Pohar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Jamestown, NY 14701 Phone: 716-338-9500 Fax: 716-338-9550 | |
Dr. Seth Henry Iverson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 796 Fairmont Avenue, Jamestown, NY 14702 Phone: 716-664-9731 Fax: 716-664-9160 | |
Mr. Thomas Lee Greer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Dr. Khanh Thi Nha Vu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 51 Glasgow Ave, Jamestown, NY 14701 Phone: 716-664-8670 Fax: 716-664-8672 | |
Mr. Ronald Dale Klizek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St Ste 250, Jamestown, NY 14701 Phone: 716-664-9731 Fax: 716-664-9160 | |
Mr. Brian Declan Meagher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-421-0141 |