Nichole Flynn, CRNP is a medicare enrolled "Nurse Practitioner - Family" in West Pittston, Pennsylvania. Her current practice location is
225 Parke St, West Pittston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 592-8081.
Nichole Flynn is licensed to practice in Pennsylvania (license number SP015190) 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 1851766372.
Provider's Profile
| Full Name | Nichole Flynn |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 225 Parke St, West Pittston, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851766372
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 08/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 0446508832
- Enrollment ID: I20180801001001
Medical Identifiers
Medical identifiers for Nichole Flynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851766372 | NPI | - | NPPES |
| F06151546 | Other | | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN574279 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP015190 (Pennsylvania) | 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. Nichole Flynn allows following entities to bill medicare on her behalf.
| Entity Name | Supportive Care Of Pennsylvania Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174992275
PECOS PAC ID: 0143521211
Enrollment ID: O20151214002225 |
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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. Nichole Flynn 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 |
|---|
Nichole Flynn, CRNP
225 Parke St,
West Pittston, PA 18643-2205
Ph: () - | Nichole Flynn, CRNP
225 Parke St,
West Pittston, PA 18643-2205
Ph: (570) 592-8081 |
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