Kenneth R Nichols, LCSW in Farmington, NM - Medicare Social Worker Provider

Kenneth R Nichols, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, New Mexico. His current practice location is 1001 W Broadway Ste D, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 325-0238.

Kenneth R Nichols is licensed to practice in New Mexico (license number C-11080) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548707649.

Contact Information

	Kenneth R Nichols, LCSW
	1001 W Broadway Ste D, Farmington, NM 87401-5638
	(505) 325-0238
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth R Nichols
Gender	Male
Speciality	Social Worker - Clinical
Location	1001 W Broadway Ste D, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548707649
Provider Enumeration Date: 01/26/2017
Last Update Date: 08/31/2020

Medicare PECOS Information:

PECOS PAC ID: 6103253687
Enrollment ID: I20200221001929

Medical Identifiers

Medical identifiers for Kenneth R Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548707649	NPI	-	NPPES
1649724055	Medicaid	NM
1619475944	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C-11080 (New Mexico)	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. Kenneth R Nichols allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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. Kenneth R Nichols 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
Kenneth R Nichols, LCSW 819 N Watson Ave, Farmington, NM 87401-9127 Ph: (253) 427-0881	Kenneth R Nichols, LCSW 1001 W Broadway Ste D, Farmington, NM 87401-5638 Ph: (505) 325-0238

Reviews and Comments

Social Worker in Farmington, NM

Richalyn B Fredriksen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3802 College Boulevard, Farmington, NM 87402 Phone: 505-599-8608
Catherine Michelle Roberts, LCSW, CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2616 E 22nd St, Farmington, NM 87401 Phone: 505-608-1980
Janet Dodson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 W Main St, Farmington, NM 87401 Phone: 505-787-2616 Fax: 505-564-3788
Jo Davis, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Ste. C, Farmington, NM 87401 Phone: 505-326-4383 Fax: 505-325-1925
Mr. Roy J. Tso Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Northridge Dr, Farmington, NM 87401 Phone: 505-635-2030
Amanda M Lobato, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Behrend Ave Ste G, Farmington, NM 87401 Phone: 505-860-3479
Ashely Jack, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 653 W Arrington St, Farmington, NM 87401 Phone: 505-654-3733

Kenneth R Nichols, LCSW - Medicare Clinical Social Worker in Farmington, NM