Dr Shamolie Nicole Wyckoff, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Hermitage, Tennessee. Her current practice location is
5651 Frist Blvd, Ste 712, Hermitage, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 872-9966.
Dr Shamolie Nicole Wyckoff is licensed to practice in Tennessee (license number 48072) 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 1295872216.
Physician's Profile
| Full Name | Dr Shamolie Nicole Wyckoff |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 5651 Frist Blvd, Hermitage, Tennessee |
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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 Shamolie Nicole Wyckoff attended and graduated from in
NPI Data:
- NPI Number: 1295872216
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shamolie Nicole Wyckoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295872216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | P20277 (Maryland) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 48072 (Tennessee) | 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 Shamolie Nicole Wyckoff 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 Shamolie Nicole Wyckoff, MD
15180 Old Hickory Blvd, #417,
Nashville, TN 37211-6503
Ph: () - | Dr Shamolie Nicole Wyckoff, MD
5651 Frist Blvd, Ste 712,
Hermitage, TN 37076-2054
Ph: (615) 872-9966 |
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