Nicole K Demetriou, CNM FNP is a medicare enrolled "Advanced Practice Midwife" in Hyden, Kentucky. Her current practice location is
130 Kate Ireland Dr, Hyden, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 672-2901.
Nicole K Demetriou is licensed to practice in Kentucky (license number 4779M) 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 1770540817.
Provider's Profile
| Full Name | Nicole K Demetriou |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 130 Kate Ireland Dr, Hyden, Kentucky |
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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: 1770540817
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901820406
- Enrollment ID: I20081027000890
Medical Identifiers
Medical identifiers for Nicole K Demetriou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770540817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 4779P (Kentucky) | Primary |
| 367A00000X | Advanced Practice Midwife | 4779M (Kentucky) | 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 K Demetriou allows following entities to bill medicare on her behalf.
| Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306833595
PECOS PAC ID: 2264337021
Enrollment ID: O20031204000575 |
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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. Nicole K Demetriou 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 K Demetriou, CNM FNP
130 Kate Ireland Dr,
Hyden, KY 41749
Ph: (606) 672-2901 | Nicole K Demetriou, CNM FNP
130 Kate Ireland Dr,
Hyden, KY 41749
Ph: (606) 672-2901 |
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