Dr Nichole Marie Adair, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Chino, California. She graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
11651 Roswell Ave, Chino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 226-7036.
Dr Nichole Marie Adair is licensed to practice in California (license number 20A9448) 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 1619132693.
Physician's Profile
| Full Name | Dr Nichole Marie Adair |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 22 Years |
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| Location | 11651 Roswell Ave, Chino, 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 Nichole Marie Adair graduated from medical school in 2003
NPI Data:
- NPI Number: 1619132693
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507924057
- Enrollment ID: I20081028000148
Medical Identifiers
Medical identifiers for Dr Nichole Marie Adair such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619132693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 20A9448 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 9038 |
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 Nichole Marie Adair allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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 Nichole Marie Adair 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 Nichole Marie Adair, DO
11651 Roswell Ave,
Chino, CA 91710-1543
Ph: (909) 226-7036 | Dr Nichole Marie Adair, DO
11651 Roswell Ave,
Chino, CA 91710-1543
Ph: (909) 226-7036 |
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