Dr Nicole Marie Soos, DO - Medicare Family Practice in Fernandina Beach, FL

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Dr Nicole Marie Soos, DO is a medicare enrolled "Family Medicine" physician in Fernandina Beach, Florida. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Edward W Sparrow Hospital Association and her current practice location is 1348 S 18th St Ste 100, Fernandina Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 261-0922.

Dr Nicole Marie Soos is licensed to practice in Florida (license number OS21374) 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 1497115133.

Contact Information

Dr Nicole Marie Soos, DO
1348 S 18th St Ste 100,
Fernandina Beach, FL 32034-4785
(904) 261-0922
(904) 390-7477

Map and Direction




Physician's Profile

Full NameDr Nicole Marie Soos
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location1348 S 18th St Ste 100, Fernandina Beach, Florida
Accepts Medicare AssignmentsYes. 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 Nicole Marie Soos attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2016
  NPI Data:
  • NPI Number: 1497115133
  • Provider Enumeration Date: 02/23/2016
  • Last Update Date: 08/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355602541
  • Enrollment ID: I20180305000823

Medical Identifiers

Medical identifiers for Dr Nicole Marie Soos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497115133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101022617 (Michigan)Secondary
207Q00000XFamily Medicine OS21374 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Great Lakes CaringJackson, MIHome health agency
Edward W Sparrow HospitalLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edward W Sparrow Hospital Association6709799166525

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 Nicole Marie Soos allows following entities to bill medicare on her behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790
Entity NameCapital Internal Medicine Associates P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780629832
PECOS PAC ID: 8022097963
Enrollment ID: O20040715000369
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437331501
PECOS PAC ID: 6709799166
Enrollment ID: O20080219000111

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 Nicole Marie Soos 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 AddressPractice Location Address
Dr Nicole Marie Soos, DO
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-2092		Dr Nicole Marie Soos, DO
1348 S 18th St Ste 100,
Fernandina Beach, FL 32034-4785

Ph: (904) 261-0922

Reviews and Comments


Family Medicine Doctors in Fernandina Beach, FL

Diana R Twiggs, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034
Phone: 904-261-0922    Fax: 904-277-8872
Kyle A Rezac, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1888 S 14th St, Fernandina Beach, FL 32034
Phone: 904-261-0922    Fax: 904-277-8872
Dr. Edward Dominick Tribuzio, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034
Phone: 904-432-3061    Fax: 904-432-3062
Kedra Fields Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22439 Flora Parke Xing, Fernandina Beach, FL 32034
Phone: 904-648-8081    Fax: 904-648-8082
David P Page, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 S 14th St, Fernandina Beach, FL 32034
Phone: 904-491-3688    Fax: 904-261-6680
Jacob Blum, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034
Phone: 904-261-0922    Fax: 904-277-8872

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.