Dr Michelle Nicholson-wilson, MD is a medicare enrolled "Family Medicine" physician in Maxton, North Carolina. Her current practice location is
610 E Dr Martin Luther King Jr Dr, Maxton, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 844-5410.
Dr Michelle Nicholson-wilson is licensed to practice in North Carolina (license number 94-00955) 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 1114936069.
Physician's Profile
Full Name | Dr Michelle Nicholson-wilson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 610 E Dr Martin Luther King Jr Dr, Maxton, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114936069
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 06/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 8729046313
- Enrollment ID: I20140716002216
Medical Identifiers
Medical identifiers for Dr Michelle Nicholson-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114936069 | NPI | - | NPPES |
7988330 89015A5 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 94-00955 (North Carolina) | 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. Dr Michelle Nicholson-wilson 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 Michelle Nicholson-wilson, MD 60 Commerce Drive, P O Box 1659, Pembroke, NC 28372-1659 Ph: (910) 521-2900 | Dr Michelle Nicholson-wilson, MD 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 Ph: (910) 844-5410 |
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