Mrs Nicole Lackey Dillon, MD in Logan, WV

Mrs Nicole Lackey Dillon, MD is a medicare enrolled "Family Medicine" physician in Logan, West Virginia. She went to Jc Edwards School Of Medicine, Marshall University and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. Her current practice location is 77 Hospital Dr Ste D, Logan, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 752-9290.

Mrs Nicole Lackey Dillon is licensed to practice in West Virginia (license number 21324) 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 1730118431.

Contact Information

	Mrs Nicole Lackey Dillon, MD
	77 Hospital Dr Ste D, Logan, WV 25601-3451
	(304) 752-9290
	(304) 896-8682

Map and Direction

Physician's Profile

Full Name	Mrs Nicole Lackey Dillon
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	77 Hospital Dr Ste D, Logan, West Virginia
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:

Mrs Nicole Lackey Dillon attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1999

NPI Data:

NPI Number: 1730118431
Provider Enumeration Date: 07/03/2006
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 6709775737
Enrollment ID: I20040315001060

Medical Identifiers

Medical identifiers for Mrs Nicole Lackey Dillon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730118431	NPI	-	NPPES
1810172000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	39860 (Kentucky)	Secondary
207Q00000X	Family Medicine	21324 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dignity Home Health	Chapmanville, WV	Home health agency
Logan Regional Medical Center	Logan, WV	Hospital

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. Mrs Nicole Lackey Dillon allows following entities to bill medicare on her behalf.

Entity Name	Nicole Lackey Dillon Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396092508 PECOS PAC ID: 0749438679 Enrollment ID: O20120918000334

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. Mrs Nicole Lackey Dillon 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
Mrs Nicole Lackey Dillon, MD 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1825	Mrs Nicole Lackey Dillon, MD 77 Hospital Dr Ste D, Logan, WV 25601-3451 Ph: (304) 752-9290

Reviews and Comments

Family Medicine Doctors in Logan, WV

Emad Y Mousa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 77 Hospital Dr Ste 200, Logan, WV 25601 Phone: 304-896-5200 Fax: 304-896-5300
Ernesto Manuel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 396 Dingess St, Logan, WV 25601 Phone: 304-831-1700 Fax: 304-831-1726
Summer Nicole New, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, Logan, WV 25601 Phone: 304-792-6282 Fax: 304-792-6290
Dr. Morris Stephen Dillard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101
Zackery Eric Asbury, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 38 Hospital Dr Ste 1a, Logan, WV 25601 Phone: 304-831-1630
Kenneth Sells, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 Main St, Logan, WV 25601 Phone: 304-752-3400 Fax: 304-752-8138

Mrs Nicole Lackey Dillon, MD - Medicare Family Practice in Logan, WV