Nicole Medeiros, PA-C is a medicare enrolled "Physician Assistant - Medical" in Auburndale, Massachusetts. Her current practice location is
85 Crescent St Apt 1, Auburndale, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 215-1788.
Nicole Medeiros is licensed to practice in Massachusetts (license number PA4553) 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 1104161330.
Provider's Profile
Full Name | Nicole Medeiros |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 85 Crescent St Apt 1, Auburndale, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104161330
- Provider Enumeration Date: 11/28/2012
- Last Update Date: 01/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 4183869720
- Enrollment ID: I20130402000033
Medical Identifiers
Medical identifiers for Nicole Medeiros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104161330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA4553 (Massachusetts) | Primary |
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 Medeiros 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 Medeiros, PA-C 85 Crescent St Apt 1, Auburndale, MA 02466-2509 Ph: (781) 215-1788 | Nicole Medeiros, PA-C 85 Crescent St Apt 1, Auburndale, MA 02466-2509 Ph: (781) 215-1788 |
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