Nicole Marie Conway, NP-C is a medicare enrolled "Nurse Practitioner" in Galesburg, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Infusion Associates Pllc and her current practice location is
9880 E Michigan Ave # 100, Galesburg, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 665-7092.
Nicole Marie Conway is licensed to practice in Michigan (license number 4704249957) 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 1467098202.
Provider's Profile
| Full Name | Nicole Marie Conway |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 9880 E Michigan Ave # 100, Galesburg, Michigan |
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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 Marie Conway graduated from nursing school in 2019
NPI Data:
- NPI Number: 1467098202
- Provider Enumeration Date: 11/26/2019
- Last Update Date: 05/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426479122
- Enrollment ID: I20200604003174
Medical Identifiers
Medical identifiers for Nicole Marie Conway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467098202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704249957 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Infusion Associates Pllc | 0840185203 | 25 |
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 Marie Conway allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group Promed |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478 |
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| Entity Name | Infusion Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487622296
PECOS PAC ID: 0840185203
Enrollment ID: O20040322001830 |
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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 Marie Conway 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 Marie Conway, NP-C
9880 E Michigan Ave Ste 100,
Galesburg, MI 49053-8641
Ph: (269) 665-7092 | Nicole Marie Conway, NP-C
9880 E Michigan Ave # 100,
Galesburg, MI 49053-8641
Ph: (269) 665-7092 |
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