Dr Michael David Nickerson Jr, MD - Medicare Anesthesiology in Fort Bragg, NC

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Dr Michael David Nickerson Jr, MD is a medicare enrolled "Anesthesiology" physician in Fort Bragg, North Carolina. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Medstream Anesthesia Pllc and his current practice location is 2817 Reilly St, Fort Bragg, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 908-2318.

Dr Michael David Nickerson Jr is licensed to practice in North Carolina (license number 2019-02595) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790927671.

Contact Information

Dr Michael David Nickerson Jr, MD
2817 Reilly St,
Fort Bragg, NC 28310-7394
(910) 908-2318
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael David Nickerson Jr
GenderMale
SpecialityAnesthesiology
Experience16 Years
Location2817 Reilly St, Fort Bragg, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael David Nickerson Jr graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1790927671
  • Provider Enumeration Date: 03/24/2009
  • Last Update Date: 06/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264811322
  • Enrollment ID: I20220620001463

Medical Identifiers

Medical identifiers for Dr Michael David Nickerson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790927671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology Q4227 (Texas)Secondary
207L00000XAnesthesiology 2019-02595 (North Carolina)Primary
207L00000XAnesthesiology 0101246915 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeastern Regional Medical CenterLumberton, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstream Anesthesia Pllc7416198049566

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 Michael David Nickerson Jr allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033412267
PECOS PAC ID: 2961316450
Enrollment ID: O20031118000860
Entity NameSoutheast Anesthesiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538124201
PECOS PAC ID: 7719959873
Enrollment ID: O20040809001398
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140304001209

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 Michael David Nickerson Jr 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 AddressPractice Location Address
Dr Michael David Nickerson Jr, MD
6747 Surrey Rd,
Fayetteville, NC 28306-2592

Ph: (804) 761-0869		Dr Michael David Nickerson Jr, MD
2817 Reilly St,
Fort Bragg, NC 28310-7394

Ph: (910) 908-2318

Reviews and Comments


Anesthesiology Doctors in Fort Bragg, NC

Frederick Victor Palmquist, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Reilly Road, Womack Army Cetner Mcxc-cod Credentials, Fort Bragg, NC 28310
Phone: 910-907-8922    Fax: 910-907-6069
Dr. Michael W Bartoszek, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: Wamc Bldg 2 Pain Clinic, 2817 Reilly Rd Stop A, Fort Bragg, NC 28310
Phone: 910-907-6542    
Kyle Evan Curtis, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 910-907-6000    
Alyson Anna Ochs, RN
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 765-729-1750    
Ronil Patel,
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 203-884-3005    
Mr. Micah Krishnan, SRNA
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 2817 Reilly St, Fort Bragg, NC 28310
Phone: 801-866-8228    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.