Nicole J Walsh, PNP - Medicare Nurse Practitioner in Rochester, NY

Nicole J Walsh, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Rochester, New York. Her current practice location is 200 E River Rd, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-2808.

Nicole J Walsh is licensed to practice in New York (license number F383255) 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 1124697305.

Contact Information

Nicole J Walsh, PNP
200 E River Rd,
Rochester, NY 14623-1212
(585) 275-2808
(585) 275-3683



Physician's Profile

Full NameNicole J Walsh
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location200 E River Rd, Rochester, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124697305
  • Provider Enumeration Date: 06/22/2021
  • Last Update Date: 07/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355745621
  • Enrollment ID: I20210809001868

Medical Identifiers

Medical identifiers for Nicole J Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124697305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0106XOrthopaedic Surgery - Hand Surgery 383255 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics F383255 (New York)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 J Walsh allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019

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Entity NameU Of R Neurology Department
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184725525
PECOS PAC ID: 1456248699
Enrollment ID: O20040302000743

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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 J Walsh 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
Nicole J Walsh, PNP
601 Elmwood Ave Box 278984,
Rochester, NY 14642-0001

Ph: (585) 275-2808
Nicole J Walsh, PNP
200 E River Rd,
Rochester, NY 14623-1212

Ph: (585) 275-2808

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