Nicole Letellier, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grove City, Ohio. Her current practice location is
5300 N Meadows Dr, Grove City, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 663-5000.
Nicole Letellier is licensed to practice in Ohio (license number 0020852) 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 1063114874.
Provider's Profile
| Full Name | Nicole Letellier |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 5300 N Meadows Dr, Grove City, Ohio |
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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: 1063114874
- Provider Enumeration Date: 03/17/2023
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668827882
- Enrollment ID: I20231009000869
Medical Identifiers
Medical identifiers for Nicole Letellier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063114874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.441706 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0020852 (Ohio) | 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 Letellier allows following entities to bill medicare on her behalf.
| Entity Name | Premier Anesthesia Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267 |
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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. Nicole Letellier 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 |
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Nicole Letellier,
366 King Ave Apt A,
Columbus, OH 43201-2616
Ph: (419) 618-1253 | Nicole Letellier,
5300 N Meadows Dr,
Grove City, OH 43123-2546
Ph: (614) 663-5000 |
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