Nicole Small, CRNP in Glen Burnie, MD - Medicare Nurse Practitioner

Nicole Small, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Glen Burnie, Maryland. Her current practice location is 7831 Stonebriar Dr, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 804-3487.

Nicole Small is licensed to practice in Maryland (license number R226246) 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 1073997607.

Contact Information

	Nicole Small, CRNP
	7831 Stonebriar Dr, Glen Burnie, MD 21060-8392
	(443) 804-3487
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Small
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7831 Stonebriar Dr, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073997607
Provider Enumeration Date: 07/14/2015
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0547600611
Enrollment ID: I20240507000447

Medical Identifiers

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

Identifier	Type	State	Issuer
1073997607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R226246 (Maryland)	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 Small allows following entities to bill medicare on her behalf.

Entity Name	Global Pain Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922443704 PECOS PAC ID: 1850531302 Enrollment ID: O20130708000095

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 Small 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 Small, CRNP 7831 Stonebriar Dr Ste 200, Glen Burnie, MD 21060-8392 Ph: (443) 804-3487	Nicole Small, CRNP 7831 Stonebriar Dr, Glen Burnie, MD 21060-8392 Ph: (443) 804-3487

Reviews and Comments

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Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
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Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434

Nicole Small, CRNP - Medicare Nurse Practitioner in Glen Burnie, MD