Dr Kimberly Marie Nicholson, MD is a medicare enrolled "Dermatology" physician in Woodstock, Georgia. She went to Emory University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Atlanta North Dermatology And Skin Care, Inc. and her current practice location is
100 Stoneforest Dr, Suite 320, Woodstock, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 516-5199.
Dr Kimberly Marie Nicholson is licensed to practice in Georgia (license number 68082) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427210475.
Physician's Profile
| Full Name | Dr Kimberly Marie Nicholson |
|---|
| Gender | Female |
|---|
| Speciality | Pathology |
|---|
| Experience | 17 Years |
|---|
| Location | 100 Stoneforest Dr, Woodstock, Georgia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Kimberly Marie Nicholson attended and graduated from Emory University School Of Medicine in 2007
NPI Data:
- NPI Number: 1427210475
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 05/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 1951567387
- Enrollment ID: I20120730000281
Medical Identifiers
Medical identifiers for Dr Kimberly Marie Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427210475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 68082 (Georgia) | Primary |
| 207ZD0900X | Pathology - Dermatopathology | 68082 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Atlanta North Dermatology And Skin Care, Inc. | 0648346726 | 7 |
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 Kimberly Marie Nicholson allows following entities to bill medicare on her behalf.
| Entity Name | Atlanta North Dermatology & Skin Care, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215191085
PECOS PAC ID: 0648346726
Enrollment ID: O20080915000346 |
|---|
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 Kimberly Marie 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 Kimberly Marie Nicholson, MD
100 Stoneforest Dr, Suite 320,
Woodstock, GA 30189-4880
Ph: (770) 516-5199 | Dr Kimberly Marie Nicholson, MD
100 Stoneforest Dr, Suite 320,
Woodstock, GA 30189-4880
Ph: (770) 516-5199 |
Reviews and Comments