Mrs Nicole Marie Douglas, APN in Chester, NJ - Medicare Nurse Practitioner

Mrs Nicole Marie Douglas, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Chester, New Jersey. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Consensus Medical Group Llc, Advanced Cardiology Llc and her current practice location is 415 Route 24 Ste E, Chester, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 879-1500.

Mrs Nicole Marie Douglas is licensed to practice in New Jersey (license number 26NJ01103800) 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 1215527874.

Contact Information

	Mrs Nicole Marie Douglas, APN
	415 Route 24 Ste E, Chester, NJ 07930-2920
	(908) 879-1500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Marie Douglas
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	415 Route 24 Ste E, Chester, New Jersey
Accepts Medicare Assignments	Yes. 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 Nicole Marie Douglas graduated from nursing school in 2019

NPI Data:

NPI Number: 1215527874
Provider Enumeration Date: 01/19/2021
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 2264848134
Enrollment ID: I20210302000759

Medical Identifiers

Medical identifiers for Mrs Nicole Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215527874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	26NJ01103800 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Morristown Medical Center	Morristown, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Consensus Medical Group Llc	2961748181	140
Advanced Cardiology Llc	5597751735	27

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 Nicole Marie Douglas allows following entities to bill medicare on her behalf.

Entity Name	Advanced Cardiology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295871796 PECOS PAC ID: 5597751735 Enrollment ID: O20040422000915

Entity Name	Lawrence C Antonucci Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092368 PECOS PAC ID: 4183611643 Enrollment ID: O20040427001026

Entity Name	Consensus Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811466881 PECOS PAC ID: 2961748181 Enrollment ID: O20190109001851

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 Nicole Marie Douglas 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 Nicole Marie Douglas, APN 19 Redwood Rd, Martinsville, NJ 08836-2373 Ph: (732) 977-8506	Mrs Nicole Marie Douglas, APN 415 Route 24 Ste E, Chester, NJ 07930-2920 Ph: (908) 879-1500

Reviews and Comments

Nurse Practitioner Nurses in Chester, NJ

Mrs. Phygenia Y Nimoh, APN,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Rt 206 North, Chester, NJ 07930 Phone: 908-879-6818
Ms. Bonita Sue Pyler, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787
Phyllis Davis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787
Jadrian Danelle Rawlings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 908-879-6818
Ms. Babiche Michele Slack, RN, MS, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 612-859-7101
Jaclyn Shoemaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-216-3854

Mrs Nicole Marie Douglas, APN - Medicare Nurse Practitioner in Chester, NJ