Susan C Nicolson, MD in Philadelphia, PA

Susan C Nicolson, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Philadelphia, Pennsylvania. Her current practice location is 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-1867.

Susan C Nicolson is licensed to practice in Pennsylvania (license number MD024170E) 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 1255344438.

Contact Information

	Susan C Nicolson, MD
	34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399
	(215) 590-1867
	(215) 590-5824

Map and Direction

Physician's Profile

Full Name	Susan C Nicolson
Gender	Female
Speciality	Anesthesiology - Pediatric Anesthesiology
Location	34th Street & Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255344438
Provider Enumeration Date: 08/15/2006
Last Update Date: 04/11/2013

Medicare PECOS Information:

PECOS PAC ID: 5496646846
Enrollment ID: I20100628000144

Medical Identifiers

Medical identifiers for Susan C Nicolson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255344438	NPI	-	NPPES
097501EMD	Other	PA	MEDICARE PTAN CCM
181300EJL	Other	PA	MEDICARE PTAN
097501J6Z	Other	PA	MEDICARE PTAN PAIN MANAGEMENT
0009928990	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD024170E (Pennsylvania)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	MD024170E (Pennsylvania)	Secondary
207LP3000X	Anesthesiology - Pediatric Anesthesiology	MD024170E (Pennsylvania)	Primary
208000000X	Pediatrics	MD024170E (Pennsylvania)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	MD024170E (Pennsylvania)	Secondary

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. Susan C Nicolson allows following entities to bill medicare on her behalf.

Entity Name	Childrens Anesthesiology Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032

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. Susan C Nicolson 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
Susan C Nicolson, MD 100 E Penn Sq, The Wanamaker Building, 9th Floor, Philadelphia, PA 19107-3323 Ph: (297) 425-9300	Susan C Nicolson, MD 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 Ph: (215) 590-1867

Reviews and Comments

Anesthesiology Doctors in Philadelphia, PA

Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085
Aaron William Montani, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664

Susan C Nicolson, MD - Medicare Anesthesiology in Philadelphia, PA