Dr Nicole Ylonne Payne, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Douglas, Georgia. She went to Medical College Of Ohio and graduated in 2003 and has 21 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Berkshire Faculty Services Inc and her current practice location is
100 Doctors Dr, Suite I, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 383-6575.
Dr Nicole Ylonne Payne is licensed to practice in Georgia (license number 068269) 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 1457528986.
Physician's Profile
| Full Name | Dr Nicole Ylonne Payne |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 21 Years |
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| Location | 100 Doctors Dr, Douglas, Georgia |
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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 Ylonne Payne attended and graduated from Medical College Of Ohio in 2003
NPI Data:
- NPI Number: 1457528986
- Provider Enumeration Date: 05/14/2008
- Last Update Date: 10/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921173758
- Enrollment ID: I20210604002053
Medical Identifiers
Medical identifiers for Dr Nicole Ylonne Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457528986 | NPI | - | NPPES |
| P00703245 | Other | TN | RRMCR |
| 326916 | Other | WA | STATE L&I |
| 1508994 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 068269 (Georgia) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 35.091613 (Ohio) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MD60463507 (Washington) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Berkshire Faculty Services Inc | 8224068424 | 232 |
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 Ylonne Payne allows following entities to bill medicare on her behalf.
| Entity Name | Berkshire Faculty Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548212939
PECOS PAC ID: 8224068424
Enrollment ID: O20050817001122 |
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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 Ylonne Payne 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 Nicole Ylonne Payne, MD
460 Mall Blvd, Suite B,
Savannah, GA 31406-4801
Ph: (912) 644-5300 | Dr Nicole Ylonne Payne, MD
100 Doctors Dr, Suite I,
Douglas, GA 31533-2210
Ph: (912) 383-6575 |
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