Nicholas Emile Maldonado, is a medicare enrolled "Physician Assistant - Medical" in Grayslake, Illinois. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Vituity-wisconsin Hm Sc and his current practice location is
307 Highland Rd, Grayslake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 757-8037.
Nicholas Emile Maldonado is licensed to practice in Wisconsin (license number 7547-23) 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 1992410757.
Provider's Profile
| Full Name | Nicholas Emile Maldonado |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 307 Highland Rd, Grayslake, Illinois |
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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. |
Medical Education and Training:
- Nicholas Emile Maldonado graduated from nursing school in 2023
NPI Data:
- NPI Number: 1992410757
- Provider Enumeration Date: 01/17/2023
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446613764
- Enrollment ID: I20230901002538
Medical Identifiers
Medical identifiers for Nicholas Emile Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992410757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 7547-23 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Vituity-wisconsin Hm Sc | 4880056126 | 29 |
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. Nicholas Emile Maldonado allows following entities to bill medicare on his behalf.
| Entity Name | Vituity-wisconsin HM SC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679265912 PECOS PAC ID: 4880056126 Enrollment ID: O20230817002412 |
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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. Nicholas Emile Maldonado 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 |
Nicholas Emile Maldonado, 307 Highland Rd, Grayslake, IL 60030-1228 Ph: (847) 757-8037 | Nicholas Emile Maldonado, 307 Highland Rd, Grayslake, IL 60030-1228 Ph: (847) 757-8037 |
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