Nicole S Fennell, NP in Dothan, AL - Medicare Nurse Practitioner

Nicole S Fennell, NP is a medicare enrolled "Nurse Practitioner" in Dothan, Alabama. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gut Pc and her current practice location is 1108 Ross Clark Cir, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 712-3635.

Nicole S Fennell is licensed to practice in Alabama (license number 1-120271) 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 1619376274.

Contact Information

	Nicole S Fennell, NP
	1108 Ross Clark Cir, Dothan, AL 36301-3022
	(334) 712-3635
	(334) 699-4387

Map and Direction

Provider's Profile

Full Name	Nicole S Fennell
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1108 Ross Clark Cir, Dothan, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole S Fennell graduated from nursing school in 2014

NPI Data:

NPI Number: 1619376274
Provider Enumeration Date: 08/20/2014
Last Update Date: 01/04/2016

Medicare PECOS Information:

PECOS PAC ID: 8022237908
Enrollment ID: I20150825004750

Medical Identifiers

Medical identifiers for Nicole S Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619376274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-120271 (Alabama)	Primary
363L00000X	Nurse Practitioner	ARNP9382028 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gut Pc	3375589799	40

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 S Fennell allows following entities to bill medicare on her behalf.

Entity Name	Houston County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209

Entity Name	Gut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073566006 PECOS PAC ID: 3375589799 Enrollment ID: O20050707000149

Entity Name	Northern Alabama Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669618310 PECOS PAC ID: 0143379388 Enrollment ID: O20090519000375

Entity Name	Premier Cardiology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033596515 PECOS PAC ID: 3971817917 Enrollment ID: O20150804004361

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 S Fennell 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 S Fennell, NP Po Box 1928, Dothan, AL 36301-3022 Ph: (334) 712-3635	Nicole S Fennell, NP 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 712-3635

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Nicole S Fennell, NP - Medicare Nurse Practitioner in Dothan, AL