Dr Nicole C Gortaire, DPM - Medicare Podiatrist in St Augustine, FL

Dr Nicole C Gortaire, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in St Augustine, Florida. Her current practice location is 1690 Us Highway 1 S Ste C, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 436-8001.

Dr Nicole C Gortaire is licensed to practice in Florida (license number PO4445) 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 1174148613.

Contact Information

Dr Nicole C Gortaire, DPM
1690 Us Highway 1 S Ste C,
St Augustine, FL 32084-6024
(904) 436-8001
(904) 376-7761



Healthcare Provider's Profile

Full NameDr Nicole C Gortaire
GenderFemale
SpecialityPodiatrist - Foot Surgery
Location1690 Us Highway 1 S Ste C, St Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174148613
  • Provider Enumeration Date: 06/10/2020
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678995875
  • Enrollment ID: I20230707001903

Medical Identifiers

Medical identifiers for Dr Nicole C Gortaire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174148613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0131XPodiatrist - Foot Surgery PO4445 (Florida)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 C Gortaire allows following entities to bill medicare on her behalf.
Provider NameSuperior Podiatry Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457839839
PECOS PAC ID: 6305185828
Enrollment ID: O20190228000450

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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 C Gortaire 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 C Gortaire, DPM
1690 Us Highway 1 S Ste C,
St Augustine, FL 32084-6024

Ph: (904) 436-8001
Dr Nicole C Gortaire, DPM
1690 Us Highway 1 S Ste C,
St Augustine, FL 32084-6024

Ph: (904) 436-8001

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Podiatrist in St Augustine, FL

Ryan J Pereira, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1301 Plantation Island Dr S, Ste 203, St Augustine, FL 32080
Phone: 904-461-0821    Fax: 904-461-0823
Dawn S. Miles Dpm Pa
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 220 Southpark Cir E, St Augustine, FL 32086
Phone: 904-808-9950    Fax: 386-328-3351
Ankle & Foot Associates
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 309 Kingsley Lake Dr, # 901, St Augustine, FL 32092
Phone: 904-269-9595    Fax: 904-264-5211
Victoria Jean Camp, DPM, PA
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1093 A1a Beach Blvd, Pmb 235, St Augustine, FL 32080
Phone: 904-814-4904    
Brett Cutler Dpm Pa
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Southpark Blvd, Suite A103, St Augustine, FL 32086
Phone: 904-824-0869    Fax: 904-826-0966
Dr. John M Burns, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1975 Old Moultrie Rd, St Augustine, FL 32086
Phone: 904-825-0046    Fax: 904-826-1586

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