Dr Heidi T Nicholson, MD - Medicare Emergency Medicine in Gainesville, GA

Dr Heidi T Nicholson, MD is a medicare enrolled "Emergency Medicine" physician in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 536-2146.

Dr Heidi T Nicholson is licensed to practice in Georgia (license number 034210) 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 1558338483.

Contact Information

Dr Heidi T Nicholson, MD
743 Spring St Ne,
Gainesville, GA 30501-3715
(770) 536-2146
(770) 536-7895



Physician's Profile

Full NameDr Heidi T Nicholson
GenderFemale
SpecialityEmergency Medicine
Location743 Spring St Ne, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558338483
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 06/04/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4789624586
  • Enrollment ID: I20050511000626

Medical Identifiers

Medical identifiers for Dr Heidi T Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558338483NPI-NPPES
000562779GOtherGAMEDICAID URGENT CARE FRIENDSHIP
93BFDXSOtherGAMEDICARE PIN URGENT CARE FRIENDSHIP
000562779FMedicaidGA
000562779EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 034210 (Georgia)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 Heidi T Nicholson allows following entities to bill medicare on her behalf.
Entity NameGeorgia Emergency Department Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508886912
PECOS PAC ID: 5597751032
Enrollment ID: O20040517001016

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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. Dr Heidi T Nicholson 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
Dr Heidi T Nicholson, MD
Po Box 2938,
Gainesville, GA 30503-2938

Ph: (770) 536-2146
Dr Heidi T Nicholson, MD
743 Spring St Ne,
Gainesville, GA 30501-3715

Ph: (770) 536-2146

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Emergency Medicine Doctors in Gainesville, GA

Dr. Keith Edwin Leap Ii, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 786-357-9327    
Dr. Philippe Gadegbeku, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-536-2146    Fax: 770-536-7895
Dr. George Houlditch, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-536-2146    
Heather Holstein, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-9000    
Jason Sanghwa Oh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-9000    
William E Davis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-536-2146    Fax: 770-536-7895
Dr. Gary Kempler, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-536-2146    Fax: 770-536-7895

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