Nicole Dennis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. Her current practice location is
1215 Lee St., Box 800377, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 924-9400.
Nicole Dennis is licensed to practice in Virginia (license number 0116038848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083175475.
Physician's Profile
Full Name | Nicole Dennis |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1215 Lee St., Charlottesville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083175475
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315277019
- Enrollment ID: I20240905004629
Medical Identifiers
Medical identifiers for Nicole Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083175475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | A176854 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0007572 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0116038848 (Virginia) | 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. Nicole Dennis 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 Dennis, MD 1215 Lee St, Box 800377, Charlottesville, VA 22908-0816 Ph: (434) 924-9400 | Nicole Dennis, MD 1215 Lee St., Box 800377, Charlottesville, VA 22908-0816 Ph: (434) 924-9400 |
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