Connie Nickelson, MD - Medicare Internal Medicine in Morristown, TN

Connie Nickelson, MD is a medicare enrolled "Internal Medicine" physician in Morristown, Tennessee. Her current practice location is 4260 Oak Trace Dr, Morristown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 492-3770.

Connie Nickelson is licensed to practice in Tennessee (license number 38911) 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 1841229903.

Contact Information

Connie Nickelson, MD
4260 Oak Trace Dr,
Morristown, TN 37813-1378
(423) 492-3770
Not Available

Map and Direction




Physician's Profile

Full NameConnie Nickelson
GenderFemale
SpecialityInternal Medicine
Location4260 Oak Trace Dr, Morristown, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841229903
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 05/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1850350042
  • Enrollment ID: I20041004001085

Medical Identifiers

Medical identifiers for Connie Nickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841229903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 38911 (Tennessee)Primary

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. Connie Nickelson allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameHospital Medicine Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160114002673

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. Connie Nickelson 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
Connie Nickelson, MD
4260 Oak Trace Dr,
Morristown, TN 37813-1378

Ph: (423) 492-3770
Connie Nickelson, MD
4260 Oak Trace Dr,
Morristown, TN 37813-1378

Ph: (423) 492-3770

Reviews and Comments


Internal Medicine Doctors in Morristown, TN

Syed Shaukat Husnain, MD
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Phone: 423-581-2795    Fax: 423-581-7113
Dr. Rodney O. Diehl, DO
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Practice Location: 705 Mcfarland St, Morristown, TN 37814
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Orlanda Raymond Lowry Iii, M.D.
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Ifeoma Chiamaka Ogbuka, M.D
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Practice Location: 908 W 4th North St, Morristown, TN 37814
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Ernesto Mejia, MD
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Practice Location: 500 Mcfarland St, Suite B, Morristown, TN 37814
Phone: 423-587-0740    Fax: 423-581-0063
Paul B Cardali, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 420 W Morris Blvd, Healthstar Physicians, Morristown, TN 37813
Phone: 423-586-0443    Fax: 423-586-0431
David Arden Walker, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 850 W 3rd North St, Suite B, Morristown, TN 37814
Phone: 423-581-2795    Fax: 423-289-1605

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.