Nicole Faye Yeshtokin, DO - Medicare General Surgery in South Boston, VA

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Nicole Faye Yeshtokin, DO is a medicare enrolled "Surgery" physician in South Boston, Virginia. She went to University Of New England, College Of Osteo Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc and her current practice location is 22232 Wilborn Ave Ste C, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 517-3910.

Nicole Faye Yeshtokin is licensed to practice in Virginia (license number 0102203996) 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 1336371525.

Contact Information

Nicole Faye Yeshtokin, DO
22232 Wilborn Ave Ste C,
South Boston, VA 24592-1662
(434) 517-3910
(434) 517-3912

Map and Direction




Physician's Profile

Full NameNicole Faye Yeshtokin
GenderFemale
SpecialityGeneral Surgery
Experience15 Years
Location22232 Wilborn Ave Ste C, South Boston, Virginia
Accepts Medicare AssignmentsYes. 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 Faye Yeshtokin attended and graduated from University Of New England, College Of Osteo Medicine in 2009
  NPI Data:
  • NPI Number: 1336371525
  • Provider Enumeration Date: 08/20/2009
  • Last Update Date: 06/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870726631
  • Enrollment ID: I20180212000147

Medical Identifiers

Medical identifiers for Nicole Faye Yeshtokin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336371525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2020-04156 (North Carolina)Secondary
208600000XSurgery 0T013281 (Pennsylvania)Secondary
208600000XSurgery 0102203996 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bon Secours Home CareSuffolk, VAHome health agency
Bon Secours Maryview Medical CenterPortsmouth, VAHospital
Riverside Regional Medical CenterNewport news, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bon Secours Medical Group Hampton Roads Specialty Care Llc3173955671137

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 Faye Yeshtokin allows following entities to bill medicare on her behalf.
Entity NameMary Immaculate Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538535463
PECOS PAC ID: 0042124042
Enrollment ID: O20031114000096
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameDominion Health Medical Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255771770
PECOS PAC ID: 1254311558
Enrollment ID: O20041206000840
Entity NameBon Secours Medical Group Hampton Roads Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629637475
PECOS PAC ID: 3173955671
Enrollment ID: O20191122000258

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 Faye Yeshtokin 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 AddressPractice Location Address
Nicole Faye Yeshtokin, DO
2232 Wilborn Ave Ste C,
South Boston, VA 24592-1662

Ph: (434) 517-3910		Nicole Faye Yeshtokin, DO
22232 Wilborn Ave Ste C,
South Boston, VA 24592-1662

Ph: (434) 517-3910

Reviews and Comments


Surgery Doctors in South Boston, VA

Yaning Zhang, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2232 Wilborn Ave Ste C, South Boston, VA 24592
Phone: 434-517-3100    
William Allen Fuller Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2212 Wilborn Ave, South Boston, VA 24592
Phone: 434-572-8921    Fax: 434-572-2063
Gurnam S Bajwa, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2206a Wilborn Ave, South Boston, VA 24592
Phone: 434-572-2744    Fax: 434-572-2785
Lovetta Pugh, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2232 Wilborn Ave, South Boston, VA 24592
Phone: 434-572-8921    Fax: 434-572-2063
Edward Sanford Purvis Ii, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2232 Wilborn Avenue, Physicians Pavilion, South Boston, VA 24592
Phone: 434-517-0233    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.