Ms Nicole Durbin, CNM is a medicare enrolled "Military Health Care Provider" in Fort Bragg, North Carolina. Her current practice location is
2817 Reilly St, Fort Bragg, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 907-6000.
Ms Nicole Durbin is licensed to practice in * (Not Available) (license number ) 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 1376624304.
Provider's Profile
| Full Name | Ms Nicole Durbin |
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| Gender | Female |
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| Speciality | Military Health Care Provider |
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| Location | 2817 Reilly St, Fort Bragg, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376624304
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486091808
- Enrollment ID: I20240321000845
Medical Identifiers
Medical identifiers for Ms Nicole Durbin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376624304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 162448 (Colorado) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | 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. Ms Nicole Durbin allows following entities to bill medicare on her behalf.
| Entity Name | Cumberland County Hospital System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881946242
PECOS PAC ID: 1850204041
Enrollment ID: O20031112000693 |
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| Entity Name | Hoke Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114277035
PECOS PAC ID: 1153569405
Enrollment ID: O20130529000286 |
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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. Ms Nicole Durbin 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 |
|---|
Ms Nicole Durbin, CNM
2817 Reilly St,
Fort Bragg, NC 28310-7324
Ph: () - | Ms Nicole Durbin, CNM
2817 Reilly St,
Fort Bragg, NC 28310-7324
Ph: (910) 907-6000 |
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