Mrs Nichole Johnson Prestwood, CRNP in Dothan, AL

Mrs Nichole Johnson Prestwood, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Dermatology Group Pa and her current practice location is 106 Westside Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (877) 231-3376.

Mrs Nichole Johnson Prestwood is licensed to practice in Alabama (license number 1-141456) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225522709.

Contact Information

	Mrs Nichole Johnson Prestwood, CRNP
	106 Westside Dr, Dothan, AL 36303-1908
	(877) 231-3376
	(850) 522-8354

Map and Direction

Provider's Profile

Full Name	Mrs Nichole Johnson Prestwood
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	106 Westside Dr, Dothan, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Nichole Johnson Prestwood graduated from nursing school in 2018

NPI Data:

NPI Number: 1225522709
Provider Enumeration Date: 06/19/2018
Last Update Date: 04/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3274883178
Enrollment ID: I20180913001021

Medical Identifiers

Medical identifiers for Mrs Nichole Johnson Prestwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225522709	NPI	-	NPPES
F06180238	Other		AANP BOARD CERTIFICATION
1-141456	Other	AL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-141456 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-141456 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Dermatology Group Pa	9931277233	42

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 Nichole Johnson Prestwood allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Associates Of Dothan, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255466330 PECOS PAC ID: 7911081641 Enrollment ID: O20080220000023

Entity Name	Christopher B Harmon Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477708642 PECOS PAC ID: 9436211463 Enrollment ID: O20081229000234

Entity Name	Southeastern Dermatology Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518972231 PECOS PAC ID: 9931277233 Enrollment ID: O20110628000133

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 Nichole Johnson Prestwood 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 Nichole Johnson Prestwood, CRNP 2505 Harrison Ave, Panama City, FL 32405-4464 Ph: (850) 233-3376	Mrs Nichole Johnson Prestwood, CRNP 106 Westside Dr, Dothan, AL 36303-1908 Ph: (877) 231-3376

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Mrs Nichole Johnson Prestwood, CRNP - Medicare Nurse Practitioner in Dothan, AL