Henry Stacy Nicholson, MD in Charlotte, NC

Henry Stacy Nicholson, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Charlotte, North Carolina. His current practice location is 1001 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 381-9900.

Henry Stacy Nicholson is licensed to practice in North Carolina (license number 2017-02236) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598773020.

Contact Information

	Henry Stacy Nicholson, MD
	1001 Blythe Blvd, Charlotte, NC 28203-5866
	(704) 381-9900
	Not Available

Map and Direction

Physician's Profile

Full Name	Henry Stacy Nicholson
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	1001 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598773020
Provider Enumeration Date: 08/03/2006
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6103712633
Enrollment ID: I20180724001826

Medical Identifiers

Medical identifiers for Henry Stacy Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598773020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2017-02236 (North Carolina)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	2017-02236 (North Carolina)	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. Henry Stacy Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

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. Henry Stacy Nicholson 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
Henry Stacy Nicholson, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Henry Stacy Nicholson, MD 1001 Blythe Blvd, Charlotte, NC 28203-5866 Ph: (704) 381-9900

Reviews and Comments

Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

Henry Stacy Nicholson, MD - Medicare Pediatrics in Charlotte, NC