Dr Teresann Nickle, FNP-BC, PMHNP-BC, DN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Guadalupe, California. She went to University Of Alabama School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Physicians Of Indiana Inc, Community Health Network Inc and her current practice location is
4723 W. Main St., Ste H, Guadalupe, California. You can reach out to her office (for appointments etc.) via phone at
(805) 343-5577.
Dr Teresann Nickle is licensed to practice in Indiana (license number 71012379A) 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 1831245786.
Provider's Profile
| Full Name | Dr Teresann Nickle |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 4723 W. Main St., Guadalupe, California |
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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. |
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Medical Education and Training:
- Dr Teresann Nickle attended and graduated from University Of Alabama School Of Medicine in 2015
NPI Data:
- NPI Number: 1831245786
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426130774
- Enrollment ID: I20220317001556
Medical Identifiers
Medical identifiers for Dr Teresann Nickle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831245786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN501703 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 501703 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 501703 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71012379A (Indiana) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN501703 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1319 |
| Community Health Network Inc | 1850203977 | 107 |
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 Teresann Nickle allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336119478
PECOS PAC ID: 1850203977
Enrollment ID: O20031105000554 |
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| Entity Name | Community Physicians Of Indiana Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717 |
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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. Dr Teresann Nickle 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 |
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Dr Teresann Nickle, FNP-BC, PMHNP-BC, DN
5831 S Harbison Ave,
Indianapolis, IN 46239-9658
Ph: (505) 506-4700 | Dr Teresann Nickle, FNP-BC, PMHNP-BC, DN
4723 W. Main St., Ste H,
Guadalupe, CA 93434
Ph: (805) 343-5577 |
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