Nicole Marie Klabnik, FNP is a medicare enrolled "Nurse Practitioner" physician in Charlotte, North Carolina. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is
10628 Park Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 667-7070.
Nicole Marie Klabnik is licensed to practice in North Carolina (license number 5005474) 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 1245501659.
Physician's Profile
| Full Name | Nicole Marie Klabnik |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 10628 Park Rd, Charlotte, North Carolina |
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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. |
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Medical Education and Training:
- Nicole Marie Klabnik graduated from medical school in 2011
NPI Data:
- NPI Number: 1245501659
- Provider Enumeration Date: 01/17/2012
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901069442
- Enrollment ID: I20120522000739
Medical Identifiers
Medical identifiers for Nicole Marie Klabnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245501659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 5005474 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5005474 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5005474 (North Carolina) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 5005474 (North Carolina) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carolinas Physicians Network Inc | 3375449655 | 1649 |
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 Marie Klabnik allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116 |
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| Entity Name | Carolinas Physicians Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455 |
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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 Marie Klabnik 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 Marie Klabnik, FNP
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Nicole Marie Klabnik, FNP
10628 Park Rd,
Charlotte, NC 28210-8407
Ph: (704) 667-7070 |
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