| Timothy Nicholson, | |
|
1184 State Route 50, Burnt Hills, NY 12019-1923 | |
| (518) 384-1281 | |
| Not Available |
| Full Name | Timothy Nicholson |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 27 Years |
| Location | 1184 State Route 50, Burnt Hills, 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 |
|---|---|---|---|
| 1013091941 | NPI | - | NPPES |
| 02349659 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 217445 (New York) | Primary |
| 208000000X | Pediatrics | 217445 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saratoga Hospital | Saratoga springs, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Physicians Pllc | 8022904473 | 349 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Nicholson, 711 Troy Schenectady Rd, Suite 201, Latham, NY 12110-2442 Ph: () - | Timothy Nicholson, 1184 State Route 50, Burnt Hills, NY 12019-1923 Ph: (518) 384-1281 |
Dr. Zachary A Feinberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 848 Route 50, Burnt Hills, NY 12027 Phone: 518-831-1500 Fax: 518-280-8464 | |
Dr. William M Gusten, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 848 Route 50, Burnt Hills, NY 12027 Phone: 518-831-1500 | |
Dr. Gerardus Lee Jameson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 848 Route 50, Burnt Hills, NY 12027 Phone: 518-831-1500 Fax: 518-280-8464 | |
Vinay Sood, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 848 Route 50, Burnt Hills, NY 12027 Phone: 518-831-1500 Fax: 518-377-1677 | |
Shawn A Chaudhary, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 848 Route 50, Burnt Hills, NY 12027 Phone: 518-831-1500 Fax: 518-377-1677 | |
Dr. Mark John Metwally, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 848 Route 50, Burnt Hills, NY 12027 Phone: 518-831-1500 Fax: 518-377-1677 |