Nicole M Cresalia

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Nicole M Cresalia basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Nicole M Cresalia
Credential :	M.D.
Gender :	Female

Business Address:

Nicole M Cresalia address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	400 Parnassus Ave San Francisco, CA, 94143-2202 United States
Phone Number :	415-476-1000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1205148681
NPI Entity Type :	Individual
First Enrolment Date :	13 Jul, 2010
Last Updated On :	17 Mar, 2018

Medicare Participation:

Nicole M Cresalia participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9931415825
Medicare Enrollment ID :	I20170803001794
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Washington University School Of Medicine
Graduation Year :	2010
Accepts Medicare?	Yes. Nicole M Cresalia accepts medicare insurance.

Group Practice Association:

Nicole M Cresalia is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nicole M Cresalia is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of California San Francisco	4486567229	1275	400 Parnassus Ave Mcb300 San Francisco, CA - 941430810 Ph: 4154761000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole M Cresalia are as mentioned. Primary taxonomy code for Nicole M Cresalia, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301102334	MI
208000000X	Pediatrics	No	A149944	CA
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A149944	CA
2080P0202X	Pediatrics Pediatric Cardiology	No	4301102334	MI

Other Practice Locations:

Practice Address	City, State	Phone Number
1500 E MEDICAL CENTER DRIVE, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661 ANN ARBOR, MI, 48109-5204 United States	ANN ARBOR, MI	734-764-5176

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3621 S State St, 700 Kms Place Ann Arbor, MI, 48108 United States
Phone Number :	734-936-2047

Business Location:

Patients can refer following map for directions to Nicole M Cresalia practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.