NICHOLAS WILLIAM ALFRED TSEFFOS DDS
NPI 1184019762
Student in an Organized Health Care Education/Training Program in Milwaukee, WI
NPI Status: Active since April 01, 2015
Contact Information
1801 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53233
Phone: (414) 288-6790
Fax: (414) 288-3586
- Individual
- Male
- Student in an Organized Health Care Educ...
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About NICHOLAS TSEFFOS
This page provides the complete NPI Profile along with additional information for Nicholas Tseffos, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1184019762 assigned on April 2015. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1184019762
- Provider Name
- NICHOLAS WILLIAM ALFRED TSEFFOS DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1801 W WISCONSIN AVE MILWAUKEE, WI 53233
- Location Phone
- (414) 288-6790
- Location Fax
- (414) 288-3586
- Mailing Address
- 5395 W MICHAELS DR APPLETON, WI 54913
- Mailing Phone
- (920) 739-1214
- Mailing Fax
- (414) 288-3586
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2015
- Last Update Date
- 04-16-2019
- Code Navigator
A primary care provider (PCP) like Nicholas Tseffos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Nicholas Tseffos opted out of Medicare effective on 01-02-2024 until 01-02-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental Individual and Family High Plan - PPO
- Delta Dental Individual and Family Low Plan - PPO
- Delta Dental Individual and Family Low Plan Major - PPO
- Delta Dental PPO Plus Premier Family Plan High Option - PPO
- Delta Dental PPO Plus Premier Family Plan Low Option - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Tseffos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-02-2024
Opt-Out End Date: 01-02-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
New patient office or other outpatient visit, 15-29 minutes
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 12 times for 12 patientsReviews for NICHOLAS WILLIAM ALFRED TSEFFOS DDS
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184019762, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184019762, enumerated as an "individual" on April 01, 2015.
The provider is located at 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 and the phone number is (414) 288-6790.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
The provider might be accepting Accepts: Delta Dental of Wisconsin, Inc. and Humana. Please consult your insurance carrier or call the provider to verify.
