Dr Nicole Norris Debolt, DO - Medicare General Surgery in Mc Connellsburg, PA

Dr Nicole Norris Debolt, DO is a medicare enrolled "Surgery" physician in Mc Connellsburg, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Fulton County Medical Center and her current practice location is 214 Peach Orchard Rd, Mc Connellsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 623-1002.

Dr Nicole Norris Debolt is licensed to practice in Pennsylvania (license number OS015694) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912984832.

Contact Information

Dr Nicole Norris Debolt, DO
214 Peach Orchard Rd,
Mc Connellsburg, PA 17233-8559
(814) 623-1002
(814) 623-2982



Physician's Profile

Full NameDr Nicole Norris Debolt
GenderFemale
SpecialityGeneral Surgery
Experience22 Years
Location214 Peach Orchard Rd, Mc Connellsburg, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Norris Debolt attended and graduated from Philadelphia College Of Osteopathic Medicine in 2002
  NPI Data:
  • NPI Number: 1912984832
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 05/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567630064
  • Enrollment ID: I20110728000446

Medical Identifiers

Medical identifiers for Dr Nicole Norris Debolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912984832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery DO 1023 (Hawaii)Secondary
208600000XSurgery OS015694 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fulton County Medical CenterMcconnellsburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fulton County Medical Center640684129524

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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 Norris Debolt allows following entities to bill medicare on her behalf.
Entity NameUpmc Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388

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Entity NameFulton County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326044694
PECOS PAC ID: 6406841295
Enrollment ID: O20040420000435

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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 Nicole Norris Debolt 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 Nicole Norris Debolt, DO
214 Peach Orchard Rd,
Mc Connellsburg, PA 17233-8559

Ph: (814) 623-1002
Dr Nicole Norris Debolt, DO
214 Peach Orchard Rd,
Mc Connellsburg, PA 17233-8559

Ph: (814) 623-1002

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Surgery Doctors in Mc Connellsburg, PA

Dr. Robert Carman Jr., DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 214 Peach Orchard Rd, Mc Connellsburg, PA 17233
Phone: 717-485-3155    

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