NICOLE D ARTHUR M.D. NPI 1104188697

Family Medicine in Bay Minette, AL

NPI 1104188697 Individual Female Years of Experience 10 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About NICOLE ARTHUR

Nicole Arthur is a primary care provider established in Bay Minette, Alabama and her medical specialization is family medicine with more than 10 years of experience. The NPI number of Nicole Arthur is 1104188697 and was assigned on June 2012. The practitioner's primary taxonomy code is 207Q00000X with license number MD34378 (AL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

A primary care provider (PCP) like Nicole D Arthur M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Nicole Arthur is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Nicole Arthur is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with North Baldwin Infirmary.

NPI

1104188697

Provider Name NICOLE D ARTHUR M.D.
Provider Location Address2002 MEDICAL CENTER DR BAY MINETTE, AL 36507
Provider Mailing Address850 5TH AVENUE EAST TUSCALOOSA, AL 35401
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2012
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-12-2012
Last Update Date08-03-2016


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD34378
License StateAL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

NICOLE D ARTHUR M.D.
2002 MEDICAL CENTER DR
BAY MINETTE, AL
ZIP 36507
Phone: (251) 937-5377
Fax: (251) 937-5352

Get Directions


Mailing Address

NICOLE D ARTHUR M.D.
850 5TH AVENUE EAST
TUSCALOOSA, AL
ZIP 35401
Phone: (205) 348-1770
Fax: (205) 348-1299



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID446566616
PECOS Enrollment IDI20150902001837
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicole Arthur is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTH BALDWIN INFIRMARY1815 HAND AVENUE
BAY MINETTE, AL 36507
(251) 937-5521Acute Care Hospitals10129

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine982SCNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics34378ALNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
102I168344MEDICARE UPIN (02)AL
176594MEDICAID (05)AL

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174753552NORTH BALDWIN PHYSICIANS FOR WOMEN, PC
Organization
Obstetrics & Gynecology2002 MEDICAL CENTER DR
BAY MINETTE, AL 36507
(251) 937-5377
1154703726GULF HEALTH HOSPITALS, INC
Organization
Family Medicine2002 MEDICAL CENTER DR
BAY MINETTE, AL 36507
(251) 937-5377
1881121556GULF HEALTH HOSPITAL
Organization
Specialist2002 MEDICAL CENTER DR
BAY MINETTE, AL 36507
(251) 435-1330
1003229774 BRITTNEY RENEE BICKSLER D.O.
Individual
Family Medicine2002 MEDICAL CENTER DR
BAY MINETTE, AL 36507
(251) 937-5377
1497819619NORTH BALDWIN OB GYN PC
Organization
Obstetrics & Gynecology2002 MEDICAL CENTER DR
BAY MINETTE, AL 36507
(251) 937-7474
1619473766IMC NORTH BALDWIN PHYSICIAN GROUP LLC
Organization
Obstetrics & Gynecology2002 MEDICAL CENTER DR
BAY MINETTE, AL 36507
(251) 435-1331

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.