Ms Chevonne Marie Nickerson, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Corning, New York. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Guthrie Medical Group Pc and her current practice location is
130 Centerway, Corning, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 973-8000.
Ms Chevonne Marie Nickerson is licensed to practice in New York (license number F331493-1) 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 1386616977.
Physician's Profile
Full Name | Ms Chevonne Marie Nickerson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 28 Years |
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Location | 130 Centerway, Corning, New York |
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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. |
Medical Education and Training:
- Ms Chevonne Marie Nickerson graduated from medical school in 1996
NPI Data:
- NPI Number: 1386616977
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557490604
- Enrollment ID: I20100527000397
Medical Identifiers
Medical identifiers for Ms Chevonne Marie Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386616977 | NPI | - | NPPES |
500019277 | Other | NY | RR MEDICARE PIN |
01731906 | Medicaid | NY | |
CC8362 | Other | NY | RR MEDICARE GROUP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | F331493 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F331493-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Guthrie Medical Group Pc | 6002728656 | 637 |
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. Ms Chevonne Marie Nickerson allows following entities to bill medicare on her behalf.
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
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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. Ms Chevonne Marie Nickerson 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 |
Ms Chevonne Marie Nickerson, FNP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Ms Chevonne Marie Nickerson, FNP 130 Centerway, Corning, NY 14830 Ph: (607) 973-8000 |
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