Dr Joseph Robert Nichols, DDS is a medicare enrolled "Dentist - General Practice" provider in Knoxville, Illinois. His current practice location is
228 E Main St, Knoxville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 289-8609.
Dr Joseph Robert Nichols is licensed to practice in Illinois (license number ) 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 1750497798.
Healthcare Provider's Profile
Full Name | Dr Joseph Robert Nichols |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 228 E Main St, Knoxville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750497798
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5395065916
- Enrollment ID: I20150522000320
Medical Identifiers
Medical identifiers for Dr Joseph Robert Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750497798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | (Illinois) | 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. Dr Joseph Robert 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 |
Dr Joseph Robert Nichols, DDS 228 E Main St, Knoxville, IL 61448-1351 Ph: (309) 289-8609 | Dr Joseph Robert Nichols, DDS 228 E Main St, Knoxville, IL 61448-1351 Ph: (309) 289-8609 |
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