Nicole Pettyjohn, NP in Wilmington, DE - Medicare Nurse Practitioner

Nicole Pettyjohn, NP is a medicare enrolled "Nurse Practitioner - Family" in Wilmington, Delaware. Her current practice location is 501 Silverside Rd Ste 102, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at (443) 383-9300.

Nicole Pettyjohn is licensed to practice in Delaware (license number LG-0011811) 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 1770950594.

Contact Information

	Nicole Pettyjohn, NP
	501 Silverside Rd Ste 102, Wilmington, DE 19809-1376
	(443) 383-9300
	(855) 866-8710

Map and Direction

Provider's Profile

Full Name	Nicole Pettyjohn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	501 Silverside Rd Ste 102, Wilmington, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770950594
Provider Enumeration Date: 08/27/2015
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6709253545
Enrollment ID: I20230407001049

Medical Identifiers

Medical identifiers for Nicole Pettyjohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770950594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	L1-0047114 (Delaware)	Secondary
363LF0000X	Nurse Practitioner - Family	LG-0011811 (Delaware)	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. Nicole Pettyjohn allows following entities to bill medicare on her behalf.

Entity Name	Beebe Physician Network Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730133992 PECOS PAC ID: 5496744864 Enrollment ID: O20040511000133

Entity Name	Consonant Healing Associates Of De Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669099321 PECOS PAC ID: 2466871694 Enrollment ID: O20201007001469

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. Nicole Pettyjohn 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
Nicole Pettyjohn, NP 909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477 Ph: (443) 383-9300	Nicole Pettyjohn, NP 501 Silverside Rd Ste 102, Wilmington, DE 19809-1376 Ph: (443) 383-9300

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, DE

Geetanjali Chatterjee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Washington St Ste 300, Wilmington, DE 19801 Phone: 302-320-5700
Ms. Janine M. Catanach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Alfred I. Dupont Hospital For Children, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-5068
Mr. Kristopher Starr, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 W 14th St, Emergency Department, Wilmington, DE 19801 Phone: 302-320-4180 Fax: 302-575-1714
Miss Nadine Lindsay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Lancaster Ave Ste E, Wilmington, DE 19805 Phone: 302-467-1778 Fax: 302-482-1790
Olamide Abiodun Vincent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Concord Pike, Wilmington, DE 19803 Phone: 484-408-5168 Fax: 877-383-8544
Michelle Lauer, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Silverside Rd Ste 2f1, Wilmington, DE 19810 Phone: 302-224-1400
Aimee Stumpo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Concord Pike Ste 78, Wilmington, DE 19803 Phone: 302-887-1266

Nicole Pettyjohn, NP - Medicare Nurse Practitioner in Wilmington, DE