Stephen A Nickisch, MD - Medicare Obstetrics & Gynecology in Saint Marys, GA

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Stephen A Nickisch, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Saint Marys, Georgia. His current practice location is 2060 Dan Proctor Dr, Suite 1200, Saint Marys, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 540-6750.

Stephen A Nickisch is licensed to practice in Montana (license number 10278) 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 1578596615.

Contact Information

Stephen A Nickisch, MD
2060 Dan Proctor Dr, Suite 1200,
Saint Marys, GA 31558-3894
(912) 540-6750
(912) 540-6773

Map and Direction




Physician's Profile

Full NameStephen A Nickisch
GenderMale
SpecialityObstetrics & Gynecology
Location2060 Dan Proctor Dr, Saint Marys, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578596615
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 08/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0042114514
  • Enrollment ID: I20130702000576

Medical Identifiers

Medical identifiers for Stephen A Nickisch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578596615NPI-NPPES
000099105OtherBCBS
0093279MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 10278 (Montana)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. Stephen A Nickisch allows following entities to bill medicare on his behalf.
Entity NameCooperative Healthcare Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417979402
PECOS PAC ID: 9830093640
Enrollment ID: O20031124000222
Entity NameObhg Georgia, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750686838
PECOS PAC ID: 9032383583
Enrollment ID: O20111117000602
Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629

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. Stephen A Nickisch 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
Stephen A Nickisch, MD
2060 Dan Proctor Dr, Suite 1200,
Saint Marys, GA 31558-3894

Ph: (912) 540-6750		Stephen A Nickisch, MD
2060 Dan Proctor Dr, Suite 1200,
Saint Marys, GA 31558-3894

Ph: (912) 540-6750

Reviews and Comments


Obstetrics & Gynecology Doctors in Saint Marys, GA

Livio Federico Pardi, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 203 Lakeshore Pt, Saint Marys, GA 31558
Phone: 912-576-6465    
Dr. Richard Lyle Brandon, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 202 Lakeshore Dr, Suite A, Saint Marys, GA 31558
Phone: 912-673-1771    Fax: 912-673-1811
Shanna Michele Welgraven, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558
Phone: 912-540-6750    Fax: 912-540-6773
Michelle Yvonne Perry, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2060 Dan Proctor Dr, Suite 1800, Saint Marys, GA 31558
Phone: 912-510-7376    Fax: 912-510-7377
Dr. Roxanne R Mody, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2060 Dan Proctor Dr Ste 1200, Saint Marys, GA 31558
Phone: 912-540-6750    

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.