George Ezzat Nicolas, CAA is a medicare enrolled "Anesthesiology" in Orlando, Florida. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Anesthesiologists Of Greater Orlando Inc and his current practice location is
52 Underwood St, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 841-5210.
George Ezzat Nicolas is licensed to practice in Florida (license number 577) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124642509.
Provider's Profile
| Full Name | George Ezzat Nicolas |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 6 Years |
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| Location | 52 Underwood St, Orlando, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- George Ezzat Nicolas graduated from nursing school in 2020
NPI Data:
- NPI Number: 1124642509
- Provider Enumeration Date: 06/02/2020
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880010446
- Enrollment ID: I20200813002493
Medical Identifiers
Medical identifiers for George Ezzat Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124642509 | NPI | - | NPPES |
| 1103779329 | Other | IN | ANTHEM PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 75000154A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | 577 (Florida) | Primary |
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesiologists Of Greater Orlando Inc | 7416928536 | 284 |
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. George Ezzat Nicolas allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesiologists Of Greater Orlando Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457300998
PECOS PAC ID: 7416928536
Enrollment ID: O20040803000929 |
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| Entity Name | Brevard Physician Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598008955
PECOS PAC ID: 1850535048
Enrollment ID: O20130909000619 |
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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. George Ezzat Nicolas 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 |
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George Ezzat Nicolas, CAA
279 Tiger Lily Ct,
Altamonte Springs, FL 32714-5842
Ph: () - | George Ezzat Nicolas, CAA
52 Underwood St,
Orlando, FL 32806-1110
Ph: (321) 841-5210 |
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