Nicole Polidori Koski, OD is a medicare enrolled "Optometrist" provider in Sterling Hts, Michigan. She went to Ferris State College - College Of Optometry and graduated in 1997 and has 27 years of diverse experience with area of expertise as Optometry. She is a member of the group practice House Of Optical Inc and her current practice location is
13400 E 15 Mile Rd, Sterling Hts, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 939-1122.
Nicole Polidori Koski is licensed to practice in Michigan (license number 4901003891) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417987603.
Healthcare Provider's Profile
| Full Name | Nicole Polidori Koski |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 27 Years |
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| Location | 13400 E 15 Mile Rd, Sterling Hts, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Nicole Polidori Koski attended and graduated from Ferris State College - College Of Optometry in 1997
NPI Data:
- NPI Number: 1417987603
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 02/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 1951291574
- Enrollment ID: I20040317001321
Medical Identifiers
Medical identifiers for Nicole Polidori Koski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417987603 | NPI | - | NPPES |
| 410046052 | Other | MI | MEDICARE RAILROAD |
| 0166710001 | Other | MI | ADMINASTAR FEDERAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 4901003891 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| House Of Optical Inc | 9931201704 | 4 |
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. Nicole Polidori Koski allows following entities to bill medicare on her behalf.
| Provider Name | House Of Optical Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134290505
PECOS PAC ID: 9931201704
Enrollment ID: O20070226000168 |
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| Provider Name | M A Schwartz Optometrist Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730375189
PECOS PAC ID: 2264529791
Enrollment ID: O20071031000444 |
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| Provider Name | Royal Oak Optical Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700582889
PECOS PAC ID: 0547627036
Enrollment ID: O20230526000653 |
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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. Nicole Polidori Koski 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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Nicole Polidori Koski, OD
13400 E 15 Mile Rd,
Sterling Hts, MI 48312
Ph: (586) 939-1122 | Nicole Polidori Koski, OD
13400 E 15 Mile Rd,
Sterling Hts, MI 48312
Ph: (586) 939-1122 |
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