Nicole Dennis, MD is a
Student In An Organized Health Care Education/training Program physician based in Charlottesville, Virginia. Nicole Dennis is licensed to practice in Virginia (license number 0116038848) and her current practice location is 1215 Lee St., Box 800377, Charlottesville, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 924-9400.
NPI number for Nicole Dennis is 1083175475 and her current mailing address is 1215 Lee St, Box 800377, Charlottesville, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083175475
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 06/25/2024
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
NOT enrolled with medicare and thus cannot 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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