Nicole J Walsh, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Rochester, New York. Her current practice location is
200 E River Rd, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 275-2808.
Nicole J Walsh is licensed to practice in New York (license number F383255) 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 1124697305.
Physician's Profile
| Full Name | Nicole J Walsh |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 200 E River Rd, Rochester, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124697305
- Provider Enumeration Date: 06/22/2021
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355745621
- Enrollment ID: I20210809001868
Medical Identifiers
Medical identifiers for Nicole J Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124697305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 383255 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | F383255 (New York) | Primary |
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 J Walsh allows following entities to bill medicare on her behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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| Entity Name | U Of R Neurology Department |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184725525
PECOS PAC ID: 1456248699
Enrollment ID: O20040302000743 |
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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 J Walsh 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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Nicole J Walsh, PNP
601 Elmwood Ave Box 278984,
Rochester, NY 14642-0001
Ph: (585) 275-2808 | Nicole J Walsh, PNP
200 E River Rd,
Rochester, NY 14623-1212
Ph: (585) 275-2808 |
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