Dr Nicole Norris Debolt, DO is a medicare enrolled "Surgery" physician in Mc Connellsburg, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Fulton County Medical Center and her current practice location is
214 Peach Orchard Rd, Mc Connellsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 623-1002.
Dr Nicole Norris Debolt is licensed to practice in Pennsylvania (license number OS015694) 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 1912984832.
Physician's Profile
| Full Name | Dr Nicole Norris Debolt |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 22 Years |
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| Location | 214 Peach Orchard Rd, Mc Connellsburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicole Norris Debolt attended and graduated from Philadelphia College Of Osteopathic Medicine in 2002
NPI Data:
- NPI Number: 1912984832
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567630064
- Enrollment ID: I20110728000446
Medical Identifiers
Medical identifiers for Dr Nicole Norris Debolt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912984832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | DO 1023 (Hawaii) | Secondary |
| 208600000X | Surgery | OS015694 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fulton County Medical Center | 6406841295 | 28 |
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 Norris Debolt allows following entities to bill medicare on her behalf.
| Entity Name | Upmc Community Medicine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388 |
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| Entity Name | Fulton County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326044694
PECOS PAC ID: 6406841295
Enrollment ID: O20040420000435 |
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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. Dr Nicole Norris Debolt 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 |
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Dr Nicole Norris Debolt, DO
214 Peach Orchard Rd,
Mc Connellsburg, PA 17233-8559
Ph: (814) 623-1002 | Dr Nicole Norris Debolt, DO
214 Peach Orchard Rd,
Mc Connellsburg, PA 17233-8559
Ph: (814) 623-1002 |
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