Nicole Lynn Coates, NP is a medicare enrolled "Nurse Practitioner - Family" in Dekalb Junction, New York. She went to State University Of Ny Upstate Medical University and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gouverneur Hospital and her current practice location is
2924 County Route 17, Dekalb Junction, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 347-3830.
Nicole Lynn Coates is licensed to practice in New York (license number 341844) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538338140.
Provider's Profile
| Full Name | Nicole Lynn Coates |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 2924 County Route 17, Dekalb Junction, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Lynn Coates attended and graduated from State University Of Ny Upstate Medical University in 2017
NPI Data:
- NPI Number: 1538338140
- Provider Enumeration Date: 02/27/2008
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002115953
- Enrollment ID: I20170920000681
Medical Identifiers
Medical identifiers for Nicole Lynn Coates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538338140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 341844 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gouverneur Hospital | 9931336724 | 19 |
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 Lynn Coates allows following entities to bill medicare on her behalf.
| Entity Name | River Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003814641
PECOS PAC ID: 2567372899
Enrollment ID: O20040614001352 |
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| Entity Name | Gouverneur Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087 |
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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 Lynn Coates 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 |
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Nicole Lynn Coates, NP
77 W Barney St,
Gouverneur, NY 13642-1040
Ph: () - | Nicole Lynn Coates, NP
2924 County Route 17,
Dekalb Junction, NY 13630
Ph: (315) 347-3830 |
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