Nicole Pietras, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Richmond, Virginia. Her current practice location is
Vcuhs Gme Administration, Box 980257, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 828-9783.
Nicole Pietras is licensed to practice in Virginia (license number 0102207317) 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 1710348768.
Physician's Profile
Full Name | Nicole Pietras |
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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 | Vcuhs Gme Administration, Box 980257, Richmond, 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: 1710348768
- Provider Enumeration Date: 03/17/2016
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608250881
- Enrollment ID: I20220907003322
Medical Identifiers
Medical identifiers for Nicole Pietras such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710348768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | OS17988 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0102207317 (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 Pietras 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 Pietras, DO 8349 Serrano Cir, Melbourne, FL 32940-8090 Ph: (609) 577-4554 | Nicole Pietras, DO Vcuhs Gme Administration, Box 980257, Richmond, VA 23298 Ph: (804) 828-9783 |
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