Nicole Buckingham, APRN-CNP in Beavercreek, OH

Nicole Buckingham, APRN-CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Beavercreek, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 3535 Pentagon Blvd Ste 400, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (855) 500-2873.

Nicole Buckingham is licensed to practice in Ohio (license number APRN.CNP.0028465) 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 1053906156.

Contact Information

	Nicole Buckingham, APRN-CNP
	3535 Pentagon Blvd Ste 400, Beavercreek, OH 45431-1705
	(855) 500-2873
	(937) 490-2267

Map and Direction

Provider's Profile

Full Name	Nicole Buckingham
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3535 Pentagon Blvd Ste 400, Beavercreek, Ohio
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 Buckingham attended and graduated from University Of Cincinnati College Of Medicine in 2020

NPI Data:

NPI Number: 1053906156
Provider Enumeration Date: 03/02/2021
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2961818422
Enrollment ID: I20210308001336

Medical Identifiers

Medical identifiers for Nicole Buckingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053906156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SX0200X	Clinical Nurse Specialist - Oncology	APRN.CNP.0028465 (Ohio)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	APRN.CNP.0028465 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Fort Hamilton Hughes Memorial Hospital	Hamilton, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	586

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 Buckingham allows following entities to bill medicare on her behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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 Buckingham 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 Buckingham, APRN-CNP 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310	Nicole Buckingham, APRN-CNP 3535 Pentagon Blvd Ste 400, Beavercreek, OH 45431-1705 Ph: (855) 500-2873

Reviews and Comments

Nurse Practitioner Nurses in Beavercreek, OH

Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067
Gregory David Bellanca, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 Fax: 937-245-7999
Yolonda M Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431 Phone: 937-426-0049 Fax: 937-431-8140

Nicole Buckingham, APRN-CNP - Medicare Nurse Practitioner in Beavercreek, OH