Mrs Nicole Renee Killman, CNM is a medicare enrolled "Advanced Practice Midwife" in Whiteville, North Carolina. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice A Womans Place In Fayetteville Pllc and her current practice location is
304 Jefferson St, Whiteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 640-6615.
Mrs Nicole Renee Killman is licensed to practice in North Carolina (license number CNM 502) 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 1164777389.
Provider's Profile
| Full Name | Mrs Nicole Renee Killman |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 12 Years |
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| Location | 304 Jefferson St, Whiteville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Nicole Renee Killman graduated from nursing school in 2012
NPI Data:
- NPI Number: 1164777389
- Provider Enumeration Date: 07/14/2012
- Last Update Date: 12/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 5294010518
- Enrollment ID: I20170328001616
Medical Identifiers
Medical identifiers for Mrs Nicole Renee Killman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164777389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | CNM 502 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| A Womans Place In Fayetteville Pllc | 8628062007 | 3 |
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 Nicole Renee Killman allows following entities to bill medicare on her behalf.
| Entity Name | A Womans Place In Fayetteville Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326006438
PECOS PAC ID: 8628062007
Enrollment ID: O20040408001476 |
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| Entity Name | County Of Columbus Office Of Accountant |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699950865
PECOS PAC ID: 6901968585
Enrollment ID: O20120611000027 |
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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. Mrs Nicole Renee Killman 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 |
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Mrs Nicole Renee Killman, CNM
124 Blue Water Dr,
Raeford, NC 28376-5446
Ph: (626) 808-3424 | Mrs Nicole Renee Killman, CNM
304 Jefferson St,
Whiteville, NC 28472-3602
Ph: (910) 640-6615 |
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