Mrs Katrina Lavette Nickolson, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Mount Vernon, Texas. Her current practice location is
801 Highway 37 S, Mount Vernon, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 577-2273.
Mrs Katrina Lavette Nickolson is licensed to practice in Texas (license number AP1095795) 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 1336864057.
Provider's Profile
| Full Name | Mrs Katrina Lavette Nickolson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 801 Highway 37 S, Mount Vernon, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1336864057
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941677405
- Enrollment ID: I20221114000687
Medical Identifiers
Medical identifiers for Mrs Katrina Lavette Nickolson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336864057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP1095795 (Texas) | 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 Katrina Lavette Nickolson allows following entities to bill medicare on her behalf.
| Entity Name | Lone Star Surgery Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689834053
PECOS PAC ID: 9638244452
Enrollment ID: O20080813000561 |
|---|
| Entity Name | Titus County Hospital District |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063548881
PECOS PAC ID: 0143203257
Enrollment ID: O20120525000534 |
|---|
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 Katrina Lavette Nickolson 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 Katrina Lavette Nickolson, CFNP
2001 N Jefferson Ave,
Mount Pleasant, TX 75455-2338
Ph: (903) 577-6000 | Mrs Katrina Lavette Nickolson, CFNP
801 Highway 37 S,
Mount Vernon, TX 75457-4501
Ph: (903) 577-2273 |
Reviews and Comments