Nicholas Von Der Ahe, MD - Medicare Family Practice in Park City, UT

Nicholas Von Der Ahe, MD is a medicare enrolled "Family Medicine" physician in Park City, Utah. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Floyd Healthcare Management Inc and his current practice location is 750 Round Valley Dr Ste 201, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 649-7680.

Nicholas Von Der Ahe is licensed to practice in Utah (license number 13447082-1205) 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 1588191902.

Contact Information

Nicholas Von Der Ahe, MD
750 Round Valley Dr Ste 201,
Park City, UT 84060-7549
(435) 649-7680
(435) 776-9353



Physician's Profile

Full NameNicholas Von Der Ahe
GenderMale
SpecialityFamily Practice
Experience9 Years
Location750 Round Valley Dr Ste 201, Park City, Utah
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:
  • Nicholas Von Der Ahe graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1588191902
  • Provider Enumeration Date: 05/16/2017
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355694878
  • Enrollment ID: I20190226002346

Medical Identifiers

Medical identifiers for Nicholas Von Der Ahe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588191902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 081963 (Georgia)Secondary
207Q00000XFamily Medicine 13447082-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coosa Valley Home Health, An AmedisysRome, GAHome health agency
Floyd Medical CenterRome, GAHospital
Park City HospitalPark city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Floyd Healthcare Management Inc5193633386109

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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. Nicholas Von Der Ahe allows following entities to bill medicare on his behalf.
Entity NameFloyd Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689610149
PECOS PAC ID: 5193633386
Enrollment ID: O20040127000897

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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 Von Der Ahe 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
Nicholas Von Der Ahe, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Nicholas Von Der Ahe, MD
750 Round Valley Dr Ste 201,
Park City, UT 84060-7549

Ph: (435) 649-7680

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Family Medicine Doctors in Park City, UT

Dr. Joseph Ferriter,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1665 Bonanza Dr, Park City, UT 84060
Phone: 435-649-7640    Fax: 435-649-1365
John Joseph Hanrahan, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 510 Maple Dr, Park City, UT 84098
Phone: 435-714-0715    
Dr. Kenneth Alan Wolkoff, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3065 Fawn Dr, Park City, UT 84098
Phone: 435-655-8212    
Brian J Rush, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Homestead Rd, Ste 100, Park City, UT 84098
Phone: 435-940-9400    
Bradley Cris Cowley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Round Valley Dr, Park City, UT 84060
Phone: 435-658-7000    
Dr. Spenser Reed, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1790 Sun Peak Dr Ste A101, Park City, UT 84098
Phone: 435-645-0800    
Stefani Jane Day, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1665 Bonanza Dr, Park City, UT 84060
Phone: 435-649-7640    Fax: 435-645-7768

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