Nicole Robinson, MD is a medicare enrolled "Pediatrics" physician in Ticonderoga, New York. Her current practice location is
101 Adirondack Dr Ste 2, Ticonderoga, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 585-6708.
Nicole Robinson is licensed to practice in New York (license number 302946) 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 1356871909.
Physician's Profile
Full Name | Nicole Robinson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 101 Adirondack Dr Ste 2, Ticonderoga, New York |
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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: 1356871909
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850660747
- Enrollment ID: I20200827003230
Medical Identifiers
Medical identifiers for Nicole Robinson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356871909 | NPI | - | NPPES |
06141771 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 302946 (New York) | 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. Nicole Robinson allows following entities to bill medicare on her behalf.
Entity Name | Hudson Headwaters Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
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Entity Name | Elizabethtown Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534 |
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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. Nicole Robinson 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 |
Nicole Robinson, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Nicole Robinson, MD 101 Adirondack Dr Ste 2, Ticonderoga, NY 12883-9334 Ph: (518) 585-6708 |
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