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

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 Name	Connie Nickelson
Gender	Female
Speciality	Internal Medicine
Location	4260 Oak Trace Dr, Morristown, Tennessee
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1841229903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal 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 Name	Summit Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

Entity Name	App Of Tennessee Hm, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088

Entity Name	Hospital Medicine Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Dr. Alay Mansurov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-492-6100
Syed Shaukat Husnain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 W 3rd North St, Morristown, TN 37814 Phone: 423-581-2795 Fax: 423-581-7113
Dr. Rodney O. Diehl, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Mcfarland St, Morristown, TN 37814 Phone: 423-492-5450
Orlanda Raymond Lowry Iii, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1432 Darbee Dr, Morristown, TN 37814 Phone: 423-581-3160
Ifeoma Chiamaka Ogbuka, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 773-701-2146
Ernesto Mejia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcfarland St, Suite B, Morristown, TN 37814 Phone: 423-587-0740 Fax: 423-581-0063
Paul B Cardali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 W Morris Blvd, Healthstar Physicians, Morristown, TN 37813 Phone: 423-586-0443 Fax: 423-586-0431

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