Dr F Peter Nicholson, MD is a medicare enrolled "Urology" physician in Monroe, Georgia. His current practice location is
2161 W Spring St Ste C, Monroe, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 963-2451.
Dr F Peter Nicholson is licensed to practice in Georgia (license number 021423) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003816166.
Physician's Profile
| Full Name | Dr F Peter Nicholson |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 2161 W Spring St Ste C, Monroe, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003816166
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 08/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 6901921170
- Enrollment ID: I20101229000610
Medical Identifiers
Medical identifiers for Dr F Peter Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003816166 | NPI | - | NPPES |
| 000217104F | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 021423 (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 F Peter Nicholson allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Urology, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
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| Entity Name | Urological Professional Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
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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 F Peter 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 F Peter Nicholson, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Dr F Peter Nicholson, MD 2161 W Spring St Ste C, Monroe, GA 30655-3196 Ph: (770) 963-2451 |
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