Jacy Adam Nicholson, DDS - Medicare Dentist in Vincennes, IN

Jacy Adam Nicholson, DDS is a medicare enrolled "Dentist - General Practice" provider in Vincennes, Indiana. Her current practice location is 630 Kimmell Rd, Suite C, Vincennes, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 316-2013.

Jacy Adam Nicholson is licensed to practice in Indiana (license number 12011947A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306282918.

Contact Information

Jacy Adam Nicholson, DDS
630 Kimmell Rd, Suite C,
Vincennes, IN 47591-6330
(812) 316-2013
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacy Adam Nicholson
GenderFemale
SpecialityDentist - General Practice
Location630 Kimmell Rd, Vincennes, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306282918
  • Provider Enumeration Date: 05/22/2013
  • Last Update Date: 05/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1254652282
  • Enrollment ID: I20150603000671

Medical Identifiers

Medical identifiers for Jacy Adam Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306282918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 12011947A (Indiana)Primary

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. Jacy Adam Nicholson 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
Jacy Adam Nicholson, DDS
3676 W 200s,
Jasper, IN 47546-8200

Ph: (812) 661-0024
Jacy Adam Nicholson, DDS
630 Kimmell Rd, Suite C,
Vincennes, IN 47591-6330

Ph: (812) 316-2013

Reviews and Comments


Dentist in Vincennes, IN

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Medicare: Not Enrolled in Medicare
Practice Location: 12 S 4th St, Vincennes, IN 47591
Phone: 812-882-9484    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.