Dr Jessica Nicholson, MD in Roanoke, VA

Dr Jessica Nicholson, MD is a medicare enrolled "Pediatrics" physician in Roanoke, Virginia. Her current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 224-4635.

Dr Jessica Nicholson is licensed to practice in Virginia (license number 0101263144) 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 1376700112.

Contact Information

	Dr Jessica Nicholson, MD
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 224-4635
	(540) 985-9099

Map and Direction

Physician's Profile

Full Name	Dr Jessica Nicholson
Gender	Female
Speciality	Pediatrics
Location	1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376700112
Provider Enumeration Date: 05/20/2008
Last Update Date: 02/07/2019

Medicare PECOS Information:

PECOS PAC ID: 8527280379
Enrollment ID: I20200103002173

Medical Identifiers

Medical identifiers for Dr Jessica Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376700112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101263144 (Virginia)	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. Dr Jessica Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

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. Dr Jessica 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 Address	Practice Location Address
Dr Jessica Nicholson, MD 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 224-4635	Dr Jessica Nicholson, MD 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 224-4635

Reviews and Comments

Pediatrics Doctors in Roanoke, VA

Camron L Johnson Privitera, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Highland Ave Se, Ste 100, Roanoke, VA 24013 Phone: 540-344-9213 Fax: 540-345-7559
Robert C Gard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Highland Ave Se, Ste 100, Roanoke, VA 24013 Phone: 540-344-9213 Fax: 540-345-7559
Joseph Tamez, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4348 Electric Rd, Roanoke, VA 24018 Phone: 540-769-0976 Fax: 540-857-5393
Kaitlyn Bixel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-224-4635 Fax: 540-985-9099
Susan Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Summers Way, Roanoke, VA 24019 Phone: 540-992-1251
Dr. Erinn E Hokanson, NP Pediatrics Medicare: Medicare Enrolled Practice Location: 4348 Electric Rd, Roanoke, VA 24018 Phone: 540-769-0975 Fax: 540-772-8219
Dr. Timothy H Hartzog, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-224-4635 Fax: 540-529-7864

Dr Jessica Nicholson, MD - Medicare Pediatrics in Roanoke, VA