Patricia Diane Nicholson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Akron, Indiana. Her current practice location is
104 W. Rochester Street, Akron, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 372-3800.
Patricia Diane Nicholson is licensed to practice in Indiana (license number 28061461A) 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 1821032426.
Provider's Profile
Full Name | Patricia Diane Nicholson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 104 W. Rochester Street, Akron, Indiana |
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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: 1821032426
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 08/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 3870691900
- Enrollment ID: I20070613000173
Medical Identifiers
Medical identifiers for Patricia Diane Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821032426 | NPI | - | NPPES |
200078320 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 28061461A (Indiana) | 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. Patricia Diane Nicholson allows following entities to bill medicare on her behalf.
Entity Name | Woodlawn Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
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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. Patricia Diane Nicholson 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 |
Patricia Diane Nicholson, FNP Po Box 966, Warsaw, IN 46580 Ph: () - | Patricia Diane Nicholson, FNP 104 W. Rochester Street, Akron, IN 46910 Ph: (574) 372-3800 |
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