Nicole Alexis Phillips, MD (6/12) is a medicare enrolled "Plastic Surgery" physician in Saint Joseph, Michigan. She went to University Of Chicago, Pritzker School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Lakeland Medical Practices and her current practice location is
3901 Stonegate Park Ste 300, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 556-6000.
Nicole Alexis Phillips is licensed to practice in Michigan (license number 4301502412) 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 1063771087.
Physician's Profile
Full Name | Nicole Alexis Phillips |
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Gender | Female |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 12 Years |
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Location | 3901 Stonegate Park Ste 300, Saint Joseph, Michigan |
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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:
- Nicole Alexis Phillips attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2012
NPI Data:
- NPI Number: 1063771087
- Provider Enumeration Date: 05/10/2012
- Last Update Date: 09/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991943144
- Enrollment ID: I20200824003075
Medical Identifiers
Medical identifiers for Nicole Alexis Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063771087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 4301502412 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lakeland Medical Practices | 1658427042 | 260 |
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. Nicole Alexis Phillips allows following entities to bill medicare on her behalf.
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
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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. Nicole Alexis Phillips 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 |
Nicole Alexis Phillips, MD (6/12) 75 Francis St, Boston, MA 02115-6110 Ph: () - | Nicole Alexis Phillips, MD (6/12) 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 Ph: (269) 556-6000 |
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