Dr Heidi T Nicholson, MD in Gainesville, GA - Medicare Emergency Medicine

Dr Heidi T Nicholson, MD is a medicare enrolled "Emergency Medicine" physician in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 536-2146.

Dr Heidi T Nicholson is licensed to practice in Georgia (license number 034210) 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 1558338483.

Contact Information

	Dr Heidi T Nicholson, MD
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 536-2146
	(770) 536-7895

Map and Direction

Physician's Profile

Full Name	Dr Heidi T Nicholson
Gender	Female
Speciality	Emergency Medicine
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558338483
Provider Enumeration Date: 02/28/2006
Last Update Date: 06/04/2008

Medicare PECOS Information:

PECOS PAC ID: 4789624586
Enrollment ID: I20050511000626

Medical Identifiers

Medical identifiers for Dr Heidi T Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558338483	NPI	-	NPPES
000562779G	Other	GA	MEDICAID URGENT CARE FRIENDSHIP
93BFDXS	Other	GA	MEDICARE PIN URGENT CARE FRIENDSHIP
000562779F	Medicaid	GA
000562779E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	034210 (Georgia)	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. Dr Heidi T Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Georgia Emergency Department Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016

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. Dr Heidi T 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
Dr Heidi T Nicholson, MD Po Box 2938, Gainesville, GA 30503-2938 Ph: (770) 536-2146	Dr Heidi T Nicholson, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 536-2146

Reviews and Comments

Emergency Medicine Doctors in Gainesville, GA

Dr. Keith Edwin Leap Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 786-357-9327
Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000
William E Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895
Dr. Gary Kempler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895

Dr Heidi T Nicholson, MD - Medicare Emergency Medicine in Gainesville, GA