Mrs Nicayla S Polanco, FNP-BC in Fayetteville, NC

Mrs Nicayla S Polanco, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, North Carolina. Her current practice location is 1991 Fordham Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 491-1851.

Mrs Nicayla S Polanco is licensed to practice in North Carolina (license number 5013351) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194347922.

Contact Information

	Mrs Nicayla S Polanco, FNP-BC
	1991 Fordham Dr, Fayetteville, NC 28304-3773
	(910) 491-1851
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nicayla S Polanco
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1991 Fordham Dr, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194347922
Provider Enumeration Date: 05/14/2020
Last Update Date: 12/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5991116584
Enrollment ID: I20201203001750

Medical Identifiers

Medical identifiers for Mrs Nicayla S Polanco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194347922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5013351 (North Carolina)	Primary

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 Nicayla S Polanco allows following entities to bill medicare on her behalf.

Entity Name	Carolina Quickcare Family Practice, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881360899 PECOS PAC ID: 0840682340 Enrollment ID: O20220113000087

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 Nicayla S Polanco 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 Nicayla S Polanco, FNP-BC 108 Ten Acres Trl, Raeford, NC 28376-9672 Ph: (910) 603-8147	Mrs Nicayla S Polanco, FNP-BC 1991 Fordham Dr, Fayetteville, NC 28304-3773 Ph: (910) 491-1851

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NC

Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Christine Elizabeth Arnold-recca, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Brookstone Ln Ste 101, Fayetteville, NC 28314 Phone: 910-306-5437
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Nicole Fisher, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100

Mrs Nicayla S Polanco, FNP-BC - Medicare Nurse Practitioner in Fayetteville, NC