Mr Nicholas R Osborne, NP is a medicare enrolled "Hospitalist" in Lebanon, Indiana. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Witham Memorial Hospital and his current practice location is
2605 N Lebanon St, Lebanon, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 485-8000.
Mr Nicholas R Osborne is licensed to practice in Indiana (license number 71004913A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104220078.
Provider's Profile
Full Name | Mr Nicholas R Osborne |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 10 Years |
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Location | 2605 N Lebanon St, Lebanon, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Nicholas R Osborne graduated from nursing school in 2014
NPI Data:
- NPI Number: 1104220078
- Provider Enumeration Date: 10/21/2014
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981826625
- Enrollment ID: I20141112001205
Medical Identifiers
Medical identifiers for Mr Nicholas R Osborne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104220078 | NPI | - | NPPES |
201262980 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28180884A (Indiana) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 71004913A (Indiana) | Secondary |
208M00000X | Hospitalist | 71004913A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Witham Memorial Hospital | 4082523170 | 93 |
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. Mr Nicholas R Osborne allows following entities to bill medicare on his behalf.
Entity Name | Johnson Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
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Entity Name | Witham Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402 |
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Entity Name | Arm Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992131049 PECOS PAC ID: 8729214887 Enrollment ID: O20131119000908 |
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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. Mr Nicholas R Osborne 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 |
Mr Nicholas R Osborne, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Mr Nicholas R Osborne, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: (765) 485-8000 |
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