Luke C Nicholas, MD - Medicare Micrographic Dermatologic Surgery (mds) in Grand Rapids, MI

Luke C Nicholas, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Grand Rapids, Michigan. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2006 and has 18 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Jack A Dekkinga Md Pc and his current practice location is 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 942-9343.

Luke C Nicholas is licensed to practice in Michigan (license number 4301101878) 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 1467509620.

Contact Information

Luke C Nicholas, MD
750 E Beltline Ave Ne Ste 301,
Grand Rapids, MI 49525-6046
(616) 942-9343
(616) 942-2538



Physician's Profile

Full NameLuke C Nicholas
GenderMale
SpecialityMicrographic Dermatologic Surgery (mds)
Experience18 Years
Location750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Luke C Nicholas attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2006
  NPI Data:
  • NPI Number: 1467509620
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779760400
  • Enrollment ID: I20190211001697

Medical Identifiers

Medical identifiers for Luke C Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467509620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 4301101878 (Michigan)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery D0082362 (Maryland)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 4301101878 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jack A Dekkinga Md Pc337553843218

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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. Luke C Nicholas allows following entities to bill medicare on his behalf.
Entity NameJack A Dekkinga Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609896034
PECOS PAC ID: 3375538432
Enrollment ID: O20040806001261

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Entity NameWolverine Dermatology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679085161
PECOS PAC ID: 9638435191
Enrollment ID: O20171116000406

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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. Luke C Nicholas 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 AddressPractice Location Address
Luke C Nicholas, MD
3434 Rivertown Point Ct Sw,
Grandville, MI 49418-3076

Ph: (616) 257-3344
Luke C Nicholas, MD
750 E Beltline Ave Ne Ste 301,
Grand Rapids, MI 49525-6046

Ph: (616) 942-9343

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Dermatology Doctors in Grand Rapids, MI

Dr. John E Miner, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1740 E Paris Ave Se, Grand Rapids, MI 49546
Phone: 616-949-5600    Fax: 616-949-6571
Connie M Anderson, PA-C
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI 49525
Phone: 616-942-9343    Fax: 616-942-2538
Dr. Mary Ann Yurko, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 833 Michigan St Ne, Suite 102, Grand Rapids, MI 49503
Phone: 616-459-1440    Fax: 616-459-0313
Mrs. Rachel Ann Zollman, PAC
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Beltline Ave Ne, Suite 301, Grand Rapids, MI 49525
Phone: 616-942-9343    Fax: 616-942-2538
Dr. Eileen Larkin Axibal, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1740 E Paris Ave Se, Grand Rapids, MI 49546
Phone: 616-949-5600    Fax: 616-949-6571
Dipa Suman Patel, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503
Phone: 616-248-8864    Fax: 616-248-8874
Michelle Mize Emery, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503
Phone: 616-248-8864    Fax: 616-248-8874

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