Dr Nicole Surething, PHD in Williamsburg, VA - Medicare Psychologist Provider

Dr Nicole Surething, PHD is a medicare enrolled "Psychologist" provider in Williamsburg, Virginia. Her current practice location is 1158 Professional Dr Ste N, Williamsburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 693-0398.

Dr Nicole Surething is licensed to practice in Virginia (license number 0810004081) 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 1902200389.

Contact Information

	Dr Nicole Surething, PHD
	1158 Professional Dr Ste N, Williamsburg, VA 23185-6618
	(540) 693-0398
	(844) 386-6313

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Surething
Gender	Female
Speciality	Psychologist
Location	1158 Professional Dr Ste N, Williamsburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902200389
Provider Enumeration Date: 10/14/2014
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7810202116
Enrollment ID: I20150817000077

Medical Identifiers

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

Identifier	Type	State	Issuer
1902200389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	0810004081 (Virginia)	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. Dr Nicole Surething allows following entities to bill medicare on her behalf.

Entity Name	Wellness Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306296819 PECOS PAC ID: 4284925397 Enrollment ID: O20160621001617

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. Dr Nicole Surething 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
Dr Nicole Surething, PHD 3997 Cedarwood Ln, Williamsburg, VA 23188-8007 Ph: (540) 693-0398	Dr Nicole Surething, PHD 1158 Professional Dr Ste N, Williamsburg, VA 23185-6618 Ph: (540) 693-0398

Reviews and Comments

Psychologist in Williamsburg, VA

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Dr. Brittany Bak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4601 Ironbound Rd, Williamsburg, VA 23188 Phone: 757-208-7668
Dr. David Hopkinson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1318 Jamestown Rd, Suite101, Williamsburg, VA 23185 Phone: 757-229-7927 Fax: 757-253-8891
Nadezhda Vladagina, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1651 Merrimac Trl, Williamsburg, VA 23185 Phone: 757-220-3200
Laura Grossi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4601 Ironbound Rd, Williamsburg, VA 23188 Phone: 757-253-5161

Dr Nicole Surething, PHD - Medicare Psychologist in Williamsburg, VA