Mr Sterling Johnston Nicholson Iv, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Danbury, North Carolina. His current practice location is
1570 Nc 8 And 89 Hwy N, Danbury, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 593-5311.
Mr Sterling Johnston Nicholson Iv is licensed to practice in North Carolina (license number F06201636) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861018897.
Provider's Profile
Full Name | Mr Sterling Johnston Nicholson Iv |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 1570 Nc 8 And 89 Hwy N, Danbury, North Carolina |
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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: 1861018897
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 06/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537584453
- Enrollment ID: I20200810000043
Medical Identifiers
Medical identifiers for Mr Sterling Johnston Nicholson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861018897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F06201636 (North Carolina) | 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. Mr Sterling Johnston Nicholson Iv allows following entities to bill medicare on his behalf.
Entity Name | Larry S Kilby Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922132620 PECOS PAC ID: 0547564825 Enrollment ID: O20160205002213 |
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Entity Name | Lifebrite Hospital Group Of Stokes Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104369081 PECOS PAC ID: 8921380759 Enrollment ID: O20170220001211 |
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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 Sterling Johnston Nicholson Iv 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 Sterling Johnston Nicholson Iv, FNP-C 1923 Mountain Rd, Walnut Cove, NC 27052-5719 Ph: (336) 416-3686 | Mr Sterling Johnston Nicholson Iv, FNP-C 1570 Nc 8 And 89 Hwy N, Danbury, NC 27016-7360 Ph: (336) 593-5311 |
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