Nicholas Charles Adams, RN in Derby, CT - Medicare Nurse Practitioner

Nicholas Charles Adams, RN is a medicare enrolled "Nurse Practitioner" in Derby, Connecticut. His current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 878-4843.

Nicholas Charles Adams is licensed to practice in Connecticut (license number 12597) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093599979.

Contact Information

	Nicholas Charles Adams, RN
	130 Division St, Derby, CT 06418-1326
	(860) 878-4843
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Charles Adams
Gender	Male
Speciality	Nurse Practitioner
Location	130 Division St, Derby, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093599979
Provider Enumeration Date: 08/22/2023
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2668821430
Enrollment ID: I20231206001180

Medical Identifiers

Medical identifiers for Nicholas Charles Adams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093599979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	102928 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	12597 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	12597 (Connecticut)	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. Nicholas Charles Adams allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902278906 PECOS PAC ID: 8820390214 Enrollment ID: O20151231000158

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. Nicholas Charles Adams 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
Nicholas Charles Adams, RN 812 N Lakeview Dr, Orange, CT 06477-1421 Ph: (860) 878-4843	Nicholas Charles Adams, RN 130 Division St, Derby, CT 06418-1326 Ph: (860) 878-4843

Reviews and Comments

Nurse Practitioner Nurses in Derby, CT

Dr. Dwayne Alansier Hall, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421
Carol Lauer, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421
Katherine N Bunger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St Fl 1, Derby, CT 06418 Phone: 203-732-1257 Fax: 203-732-2470
Heather Eckenrode, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330
Tammie C Carey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539
Christie M Czarnecki, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7252 Fax: 203-732-1539
Diana Bytyqi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Division Street, Derby, CT 06418 Phone: 203-735-3500

Nicholas Charles Adams, RN - Medicare Nurse Practitioner in Derby, CT