Mrs Nichole Johnson Prestwood, CRNP - Medicare Nurse Practitioner in Dothan, AL

Mrs Nichole Johnson Prestwood, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Dermatology Group Pa and her current practice location is 106 Westside Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (877) 231-3376.

Mrs Nichole Johnson Prestwood is licensed to practice in Alabama (license number 1-141456) 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 1225522709.

Contact Information

Mrs Nichole Johnson Prestwood, CRNP
106 Westside Dr,
Dothan, AL 36303-1908
(877) 231-3376
(850) 522-8354

Map and Direction




Provider's Profile

Full NameMrs Nichole Johnson Prestwood
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location106 Westside Dr, Dothan, Alabama
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:
  • Mrs Nichole Johnson Prestwood graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1225522709
  • Provider Enumeration Date: 06/19/2018
  • Last Update Date: 04/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274883178
  • Enrollment ID: I20180913001021

Medical Identifiers

Medical identifiers for Mrs Nichole Johnson Prestwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225522709NPI-NPPES
F06180238OtherAANP BOARD CERTIFICATION
1-141456OtherALSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-141456 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 1-141456 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Dermatology Group Pa993127723342

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 Nichole Johnson Prestwood allows following entities to bill medicare on her behalf.
Entity NameDermatology Associates Of Dothan, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255466330
PECOS PAC ID: 7911081641
Enrollment ID: O20080220000023
Entity NameChristopher B Harmon Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477708642
PECOS PAC ID: 9436211463
Enrollment ID: O20081229000234
Entity NameSoutheastern Dermatology Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518972231
PECOS PAC ID: 9931277233
Enrollment ID: O20110628000133

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 Nichole Johnson Prestwood 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
Mrs Nichole Johnson Prestwood, CRNP
2505 Harrison Ave,
Panama City, FL 32405-4464

Ph: (850) 233-3376
Mrs Nichole Johnson Prestwood, CRNP
106 Westside Dr,
Dothan, AL 36303-1908

Ph: (877) 231-3376

Reviews and Comments


Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1812 E Main St, Dothan, AL 36301
Phone: 334-792-5184    Fax: 334-792-5190
Heather Young, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-836-1212    
Jenna Oates, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 287 Healthwest Dr, Dothan, AL 36303
Phone: 334-792-9500    
Mrs. Samantha Poole Carter, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305
Phone: 334-944-7056    Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Haven Dr, Dothan, AL 36301
Phone: 334-793-3319    Fax: 334-793-2291
Amanda B Imming, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Melba Drive, Dothan, AL 36301
Phone: 334-794-6611    Fax: 334-794-6614
Vickie D Sconyers, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305
Phone: 334-793-6511    Fax: 334-677-5642

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.