Mrs Nicolette Duty, in Kingsport, TN - Medicare Nurse Practitioner

Mrs Nicolette Duty, is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. Her current practice location is 1025 Executive Park Blvd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 830-8110.

Mrs Nicolette Duty is licensed to practice in Tennessee (license number 31378) 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 1508507948.

Contact Information

	Mrs Nicolette Duty,
	1025 Executive Park Blvd, Kingsport, TN 37660-4620
	(423) 830-8110
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nicolette Duty
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1025 Executive Park Blvd, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508507948
Provider Enumeration Date: 04/06/2022
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4486021672
Enrollment ID: I20221101000351

Medical Identifiers

Medical identifiers for Mrs Nicolette Duty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508507948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31378 (Tennessee)	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 Nicolette Duty allows following entities to bill medicare on her behalf.

Entity Name	Medpsych Inc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962828137 PECOS PAC ID: 2264655877 Enrollment ID: O20140529002275

Entity Name	Sbh-kingsport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174038749 PECOS PAC ID: 8325399256 Enrollment ID: O20190725001314

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 Nicolette Duty 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 Nicolette Duty, 1041 Oakland Dr, Bristol, TN 37620-4437 Ph: (276) 971-4979	Mrs Nicolette Duty, 1025 Executive Park Blvd, Kingsport, TN 37660-4620 Ph: (423) 830-8110

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Mrs Nicolette Duty, - Medicare Nurse Practitioner in Kingsport, TN