Mrs Nicole T Rivera, PA,C - Medicare Physician Assistant in Woodstock, GA

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Mrs Nicole T Rivera, PA,C is a medicare enrolled "Physician Assistant - Medical" in Woodstock, Georgia. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Aga, Llc, Aga Professional Services Llc and her current practice location is 900 Towne Lake Pkwy, Suite 308, Woodstock, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 926-5459.

Mrs Nicole T Rivera is licensed to practice in Georgia (license number 005226) 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 1205002151.

Contact Information

Mrs Nicole T Rivera, PA,C
900 Towne Lake Pkwy, Suite 308,
Woodstock, GA 30189-1602
(770) 926-5459
(770) 926-4421

Map and Direction




Provider's Profile

Full NameMrs Nicole T Rivera
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location900 Towne Lake Pkwy, Woodstock, Georgia
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 Nicole T Rivera graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1205002151
  • Provider Enumeration Date: 05/01/2008
  • Last Update Date: 04/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4486724895
  • Enrollment ID: I20080528000237

Medical Identifiers

Medical identifiers for Mrs Nicole T Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205002151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 005226 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital CherokeeCanton, GAHospital
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aga, Llc2365431350138
Aga Professional Services Llc3870768997175

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 T Rivera allows following entities to bill medicare on her behalf.
Entity NameAga, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124064118
PECOS PAC ID: 2365431350
Enrollment ID: O20040506000726
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206
Entity NameAga Professional Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063799120
PECOS PAC ID: 3870768997
Enrollment ID: O20111219000311

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 T Rivera 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 Nicole T Rivera, PA,C
1355 Peachtree St Ne, Suite 1600,
Atlanta, GA 30309-3212

Ph: (678) 223-7774		Mrs Nicole T Rivera, PA,C
900 Towne Lake Pkwy, Suite 308,
Woodstock, GA 30189-1602

Ph: (770) 926-5459

Reviews and Comments


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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.