Nicole Ballachino, is a medicare enrolled "Nurse Practitioner" physician in Richmond, Virginia. She went to Virginia Commonwealth University, School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Orthovirginia Inc, Cep America Llc and her current practice location is
5855 Bremo Rd, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at
(860) 301-5654.
Nicole Ballachino is licensed to practice in Virginia (license number 0024179884) 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 1750982401.
Physician's Profile
Full Name | Nicole Ballachino |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 5855 Bremo Rd, Richmond, Virginia |
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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 Ballachino attended and graduated from Virginia Commonwealth University, School Of Medicine in 2021
NPI Data:
- NPI Number: 1750982401
- Provider Enumeration Date: 11/07/2020
- Last Update Date: 05/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729470018
- Enrollment ID: I20220118002411
Medical Identifiers
Medical identifiers for Nicole Ballachino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750982401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0024179884 (Virginia) | Secondary |
363L00000X | Nurse Practitioner | 0024179884 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Orthovirginia Inc | 0547157224 | 491 |
Cep America Llc | 6608056171 | 569 |
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 Ballachino allows following entities to bill medicare on her behalf.
Entity Name | Orthovirginia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
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Entity Name | Richmond Emergency Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134374978 PECOS PAC ID: 7517021652 Enrollment ID: O20090204000205 |
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Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629722129 PECOS PAC ID: 6608056171 Enrollment ID: O20220506001288 |
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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. Nicole Ballachino 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 Ballachino, 1113 E Brookland Park Blvd, Richmond, VA 23222-3110 Ph: (860) 301-5654 | Nicole Ballachino, 5855 Bremo Rd, Richmond, VA 23226-1930 Ph: (860) 301-5654 |
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