Nicole Marie Walters, in Saint Augustine, FL - Medicare Nurse Practitioner

Nicole Marie Walters, is a medicare enrolled "Nurse Practitioner" in Saint Augustine, Florida. Her current practice location is 1375 Nochaway Dr, Saint Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Nicole Marie Walters is licensed to practice in Florida (license number 11009236) 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 1386238012.

Contact Information

	Nicole Marie Walters,
	1375 Nochaway Dr, Saint Augustine, FL 32092-1865
	(000) 000-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Marie Walters
Gender	Female
Speciality	Nurse Practitioner
Location	1375 Nochaway Dr, Saint Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386238012
Provider Enumeration Date: 02/23/2021
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 9537520309
Enrollment ID: I20230727000864

Medical Identifiers

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

Identifier	Type	State	Issuer
1386238012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11009236 (Florida)	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 Marie Walters allows following entities to bill medicare on her behalf.

Entity Name	East Coast Neuro, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124424643 PECOS PAC ID: 9830417948 Enrollment ID: O20150421000529

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 Walters 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 Marie Walters, 1375 Nochaway Dr, Saint Augustine, FL 32092-1865 Ph: () -	Nicole Marie Walters, 1375 Nochaway Dr, Saint Augustine, FL 32092-1865 Ph: (000) 000-0000

Reviews and Comments

Nurse Practitioner Nurses in Saint Augustine, FL

Lucie Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 363 Chasewood Dr, Saint Augustine, FL 32095 Phone: 408-759-2838
Samantha D Reynolds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd Ste 3002, Saint Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023
Ms. Katrina Shanell General, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Bonair Dr, Saint Augustine, FL 32092 Phone: 904-463-1778
Eli Billeter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Moultrie Crossing Ln, Saint Augustine, FL 32086 Phone: 904-819-5155
Stephanie Digirolamo, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Silver Glen Ave, Saint Augustine, FL 32092 Phone: 904-525-1302
Dr. Deborah Fisher Terry, DNP, ARNP, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Crown Dr, Totalcaring Health Education & Staffing, Inc., Saint Augustine, FL 32092 Phone: 904-347-3031 Fax: 904-940-9924
Mr. Brian Emerson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopaedic Pl, Saint Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490

Nicole Marie Walters, - Medicare Nurse Practitioner in Saint Augustine, FL