Terry Paul Nickerson, MD - Medicare Colorectal Surgery (proctology) in Roanoke, VA

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Terry Paul Nickerson, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Roanoke, Virginia. He went to University Of Alabama School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Carilion Medical Center and his current practice location is 3 Riverside Cir, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 526-1251.

Terry Paul Nickerson is licensed to practice in Virginia (license number 0101267266) 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 1063733350.

Contact Information

Terry Paul Nickerson, MD
3 Riverside Cir,
Roanoke, VA 24016-4955
(540) 526-1251
Not Available

Map and Direction




Physician's Profile

Full NameTerry Paul Nickerson
GenderMale
SpecialityColorectal Surgery (proctology)
Experience16 Years
Location3 Riverside Cir, Roanoke, Virginia
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:
  • Terry Paul Nickerson attended and graduated from University Of Alabama School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1063733350
  • Provider Enumeration Date: 06/21/2010
  • Last Update Date: 08/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466626999
  • Enrollment ID: I20190923000951

Medical Identifiers

Medical identifiers for Terry Paul Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063733350NPI-NPPES
362964401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208C00000XColon & Rectal Surgery 0101267266 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carilion Roanoke Memorial HospitalRoanoke, VAHospital
Carilion Franklin Memorial HospitalRocky mount, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carilion Medical Center9830096585956

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. Terry Paul Nickerson allows following entities to bill medicare on his behalf.
Entity NameCarilion Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447206370
PECOS PAC ID: 5890607253
Enrollment ID: O20031106000273
Entity NameCarilion Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730123472
PECOS PAC ID: 9830096585
Enrollment ID: O20040107000472
Entity NameCarilion Rockbridge Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174636021
PECOS PAC ID: 4789658261
Enrollment ID: O20040820000838

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. Terry Paul Nickerson 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
Terry Paul Nickerson, MD
213 S Jefferson St Ste 1006,
Roanoke, VA 24011-1713

Ph: (540) 224-5715		Terry Paul Nickerson, MD
3 Riverside Cir,
Roanoke, VA 24016-4955

Ph: (540) 526-1251

Reviews and Comments



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.