Nicki Downes, - Medicare General Surgery in New Bern, NC

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Nicki Downes, is a medicare enrolled "Surgery" physician in New Bern, North Carolina. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Carolinaeast Physicians and her current practice location is 701 Newman Rd, New Bern, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 633-2081.

Nicki Downes is licensed to practice in North Carolina (license number 2021-02648) 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 1598147217.

Contact Information

Nicki Downes,
701 Newman Rd,
New Bern, NC 28562-5239
(252) 633-2081
(252) 633-3446

Map and Direction




Physician's Profile

Full NameNicki Downes
GenderFemale
SpecialityGeneral Surgery
Experience9 Years
Location701 Newman Rd, New Bern, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicki Downes graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1598147217
  • Provider Enumeration Date: 06/19/2015
  • Last Update Date: 08/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971800772
  • Enrollment ID: I20210909001694

Medical Identifiers

Medical identifiers for Nicki Downes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598147217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 34.014360 (Ohio)Secondary
208600000XSurgery OT016784 (Pennsylvania)Secondary
208600000XSurgery 2021-02648 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolina East Medical CenterNew bern, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinaeast Physicians0143378117180

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. Nicki Downes allows following entities to bill medicare on her behalf.
Entity NameCarolinaeast Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104066794
PECOS PAC ID: 0143378117
Enrollment ID: O20090430000303
Entity NameDlp Maria Parham Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215273628
PECOS PAC ID: 7719153683
Enrollment ID: O20111222000550

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. Nicki Downes 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
Nicki Downes,
Po Box 68,
Pollocksville, NC 28573-0068

Ph: (252) 633-2081		Nicki Downes,
701 Newman Rd,
New Bern, NC 28562-5239

Ph: (252) 633-2081

Reviews and Comments


Surgery Doctors in New Bern, NC

Dr. Thomas Spencer Skelton, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 Newman Rd, New Bern, NC 28562
Phone: 252-633-2081    Fax: 252-633-3446
Dr. Richard Earl Morgan, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 Newman Rd, New Bern, NC 28562
Phone: 252-633-2081    Fax: 252-633-3446
Daniel James Reichenbach, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 Newman Rd, New Bern, NC 28562
Phone: 252-633-2081    Fax: 252-633-3446
Michael Jay Phillips, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 701 Newman Rd, New Bern, NC 28562
Phone: 252-633-2081    Fax: 252-633-3446
Dr. Henry Curtis Mostellar Iii, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 701 Newman Rd, New Bern, NC 28562
Phone: 252-633-2081    Fax: 252-633-3446
Dr. Sydney F Barnwell, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2818 Neuse Blvd, New Bern, NC 28562
Phone: 252-636-4920    Fax: 252-636-4970

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.