Brandon Robert Mcnickle, PA-C - Medicare Physician Assistant in Goodlettsville, TN

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Brandon Robert Mcnickle, PA-C is a medicare enrolled "Physician Assistant" in Goodlettsville, Tennessee. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cumberland Skin Surgery And Dermatology and his current practice location is 201 Bluebird Dr, Goodlettsville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 859-7546.

Brandon Robert Mcnickle is licensed to practice in * (Not Available) (license number ) 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 1053789719.

Contact Information

Brandon Robert Mcnickle, PA-C
201 Bluebird Dr,
Goodlettsville, TN 37072-2301
(615) 859-7546
Not Available

Map and Direction




Provider's Profile

Full NameBrandon Robert Mcnickle
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location201 Bluebird Dr, Goodlettsville, Tennessee
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:
  • Brandon Robert Mcnickle graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1053789719
  • Provider Enumeration Date: 09/10/2015
  • Last Update Date: 04/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123328192
  • Enrollment ID: I20151123002062

Medical Identifiers

Medical identifiers for Brandon Robert Mcnickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053789719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cumberland Skin Surgery And Dermatology094139133855

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. Brandon Robert Mcnickle allows following entities to bill medicare on his behalf.
Entity NameCumberland Skin Surgery and Dermatology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922138247
PECOS PAC ID: 0941391338
Enrollment ID: O20070814000893
Entity NamePinnacle Dermatology SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861930984
PECOS PAC ID: 8628353380
Enrollment ID: O20200401003176

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. Brandon Robert Mcnickle 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
Brandon Robert Mcnickle, PA-C
820 Springer Dr,
Lombard, IL 60148-6413

Ph: (815) 744-8554		Brandon Robert Mcnickle, PA-C
201 Bluebird Dr,
Goodlettsville, TN 37072-2301

Ph: (615) 859-7546

Reviews and Comments


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Kristen Grace Kaser,
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Phone: 615-859-8488    Fax: 615-859-8696

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.