Todd R Nicholson, PA is a medicare enrolled "Physician Assistant - Medical" in Vass, North Carolina. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fhpg Llc and his current practice location is
3349 Us Hwy 1, Vass, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 245-7678.
Todd R Nicholson is licensed to practice in North Carolina (license number 103000) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396749032.
Provider's Profile
| Full Name | Todd R Nicholson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 3349 Us Hwy 1, Vass, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Todd R Nicholson graduated from nursing school in 2003
NPI Data:
- NPI Number: 1396749032
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 12/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 9335276567
- Enrollment ID: I20101206000477
Medical Identifiers
Medical identifiers for Todd R Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396749032 | NPI | - | NPPES |
| 89014UP | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 103000 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fhpg Llc | 9537481569 | 165 |
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. Todd R 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 |
|---|
Todd R Nicholson, PA
Po Box 647,
Vass, NC 28394-0647
Ph: (910) 245-7678 | Todd R Nicholson, PA
3349 Us Hwy 1,
Vass, NC 28394
Ph: (910) 245-7678 |
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