Nickline Clervil Emile, is a medicare enrolled "Nurse Practitioner" physician in West Melbourne, Florida. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Interventional And Vascular Center Pllc and her current practice location is
415 S Wickham Rd, West Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 400-1220.
Nickline Clervil Emile is licensed to practice in Florida (license number APRN11003424) 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 1205481488.
Physician's Profile
| Full Name | Nickline Clervil Emile |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 415 S Wickham Rd, West Melbourne, Florida |
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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:
- Nickline Clervil Emile graduated from medical school in 2019
NPI Data:
- NPI Number: 1205481488
- Provider Enumeration Date: 08/05/2019
- Last Update Date: 05/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729411574
- Enrollment ID: I20191209001375
Medical Identifiers
Medical identifiers for Nickline Clervil Emile such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205481488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN11003424 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11003424 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Interventional And Vascular Center Pllc | 5991085482 | 3 |
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. Nickline Clervil Emile allows following entities to bill medicare on her behalf.
| Entity Name | Interventional & Vascular Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174980973
PECOS PAC ID: 5991085482
Enrollment ID: O20161129000067 |
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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. Nickline Clervil Emile 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 |
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Nickline Clervil Emile,
235 Paquita Cir Sw,
Palm Bay, FL 32908-3468
Ph: (954) 632-9694 | Nickline Clervil Emile,
415 S Wickham Rd,
West Melbourne, FL 32904-1137
Ph: (321) 400-1220 |
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