Mrs Hayley Sumner Nichols, APRN in Blountstown, FL

Mrs Hayley Sumner Nichols, APRN is a medicare enrolled "Nurse Practitioner - Family" in Blountstown, Florida. Her current practice location is 16729 Sw Gaskin St, Blountstown, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 643-8001.

Mrs Hayley Sumner Nichols is licensed to practice in Florida (license number APRN11027256) 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 1396422473.

Contact Information

	Mrs Hayley Sumner Nichols, APRN
	16729 Sw Gaskin St, Blountstown, FL 32424-2149
	(850) 643-8001
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Hayley Sumner Nichols
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16729 Sw Gaskin St, Blountstown, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396422473
Provider Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9739533258
Enrollment ID: I20231002001977

Medical Identifiers

Medical identifiers for Mrs Hayley Sumner Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396422473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11027256 (Florida)	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. Mrs Hayley Sumner Nichols allows following entities to bill medicare on her behalf.

Entity Name	Calhoun-liberty Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588944334 PECOS PAC ID: 8820007016 Enrollment ID: O20111025000774

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. Mrs Hayley Sumner Nichols 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
Mrs Hayley Sumner Nichols, APRN 16729 Sw Gaskin St, Blountstown, FL 32424-2149 Ph: (850) 643-8001	Mrs Hayley Sumner Nichols, APRN 16729 Sw Gaskin St, Blountstown, FL 32424-2149 Ph: (850) 643-8001

Reviews and Comments

Nurse Practitioner Nurses in Blountstown, FL

Linda S Deese, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20370 Ne Burns Ave, Blountstown, FL 32424 Phone: 850-237-3000 Fax: 850-237-3001
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Mr. Robert Casey Dobson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20370 Ne Burns Ave, Blountstown, FL 32424 Phone: 850-674-5411
Tina Denice Dorsey, APRN-FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-353-7689 Fax: 850-674-8889
Leah Michelle Varieur, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17808 Ne Charlie Johns St, Blountstown, FL 32424 Phone: 850-674-4524 Fax: 850-674-2300

Mrs Hayley Sumner Nichols, APRN - Medicare Nurse Practitioner in Blountstown, FL