Nicole Latulip, in Creedmoor, NC - Medicare Nurse Practitioner

Nicole Latulip, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Creedmoor, North Carolina. Her current practice location is 1614 Nc-56, Creedmoor, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 575-6103.

Nicole Latulip is licensed to practice in North Carolina (license number 5020624) 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 1073190203.

Contact Information

	Nicole Latulip,
	1614 Nc-56, Creedmoor, NC 27522
	(919) 575-6103
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Latulip
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1614 Nc-56, Creedmoor, 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: 1073190203
Provider Enumeration Date: 03/25/2021
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6709310618
Enrollment ID: I20241114003847

Medical Identifiers

Medical identifiers for Nicole Latulip such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073190203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	5020624 (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. Nicole Latulip allows following entities to bill medicare on her behalf.

Entity Name	Granville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275638512 PECOS PAC ID: 1052223757 Enrollment ID: O20040312001033

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. Nicole Latulip 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
Nicole Latulip, 1010 College St, Oxford, NC 27565-2507 Ph: () -	Nicole Latulip, 1614 Nc-56, Creedmoor, NC 27522 Ph: (919) 575-6103

Reviews and Comments

Nurse Practitioner Nurses in Creedmoor, NC

Kaitlyn Ann Coyle, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2503 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535
Tara Neal, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535
Vincent John Cella, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Main Street, Creedmoor, NC 27522 Phone: 919-529-2474
Tonya Fisher Pruitt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1614 Nc Highway 56, Creedmoor, NC 27522 Phone: 919-582-7171
Mrs. Robin Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3185 Hardie St, Creedmoor, NC 27522 Phone: 919-427-0926
Alexia Edwards, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1614 Nc Highway 56, Creedmoor, NC 27522 Phone: 919-575-6103

Nicole Latulip, - Medicare Nurse Practitioner in Creedmoor, NC