Teresa Nicholson, CNM in Saint Marys, GA - Medicare Advanced Practice Midwife

Teresa Nicholson, CNM is a medicare enrolled "Advanced Practice Midwife" in Saint Marys, Georgia. Her current practice location is 104 Lakeshore Dr, Ste A, Saint Marys, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 882-7100.

Teresa Nicholson is licensed to practice in Georgia (license number RN103935) 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 1184972887.

Contact Information

	Teresa Nicholson, CNM
	104 Lakeshore Dr, Ste A, Saint Marys, GA 31558-3803
	(912) 882-7100
	(912) 882-9149

Provider's Profile

Full Name	Teresa Nicholson
Gender	Female
Speciality	Advanced Practice Midwife
Location	104 Lakeshore Dr, Saint Marys, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184972887
Provider Enumeration Date: 08/28/2012
Last Update Date: 12/12/2016

Medicare PECOS Information:

PECOS PAC ID: 4486805173
Enrollment ID: I20121106000034

Medical Identifiers

Medical identifiers for Teresa Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184972887	NPI	-	NPPES
003127951A	Medicaid	GA
202I422481	Other	GA	MEDICARE PTAN
003127951B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	RN103935 (Georgia)	Secondary
367A00000X	Advanced Practice Midwife	RN103935 (Georgia)	Primary

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. Teresa 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 Address	Practice Location Address
Teresa Nicholson, CNM 104 Lakeshore Dr, Ste A, Saint Marys, GA 31558-3803 Ph: (912) 882-7100	Teresa Nicholson, CNM 104 Lakeshore Dr, Ste A, Saint Marys, GA 31558-3803 Ph: (912) 882-7100

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Advanced Practice Midwife Nurses in Saint Marys, GA

Jacqueline Frances Sahrphillips, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 104 Lakeshore Dr, Suite A, Saint Marys, GA 31558 Phone: 912-882-7100 Fax: 912-882-9149
Mrs. Bethany Norman Ware, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr Ste 1800, Saint Marys, GA 31558 Phone: 912-510-7376
Cynthia R Wallace, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558 Phone: 912-540-6750 Fax: 912-540-6773
Patricia Ann Heinrich, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 104 Lakeshore Dr, Ste. A, Saint Marys, GA 31558 Phone: 912-882-7100 Fax: 912-882-9149
Joanne Altringer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 202 Lakeshore Drive, Suite A, Saint Marys, GA 31558 Phone: 912-673-1771 Fax: 912-673-1811

Teresa Nicholson, CNM - Medicare Advanced Practice Midwife in Saint Marys, GA