Ms Chevonne Marie Nickerson, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Corning, New York. 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 | |
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| Experience | 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. |
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Medical Education and Training:
- Ms Chevonne Marie Nickerson attended and graduated from in
NPI Data:
- NPI Number: 1386616977
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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