Dr Michael R Nichols, DMD, MD is a medicare enrolled "Specialist" provider in Jackson, Mississippi. His current practice location is
266 Katherine Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 420-3223.
Dr Michael R Nichols is licensed to practice in Mississippi (license number OS-340-00) 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 1427189224.
Healthcare Provider's Profile
Full Name | Dr Michael R Nichols |
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Gender | Male |
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Speciality | Specialist |
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Location | 266 Katherine Dr, Jackson, Mississippi |
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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: 1427189224
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830274430
- Enrollment ID: I20151109000965
Medical Identifiers
Medical identifiers for Dr Michael R Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427189224 | NPI | - | NPPES |
00213548 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3119-00 (Mississippi) | Primary |
174400000X | Specialist | OS-340-00 (Mississippi) | 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 Michael 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 |
Dr Michael R Nichols, DMD, MD 266 Katherine Dr, Jackson, MS 39232-8801 Ph: (601) 420-3223 | Dr Michael R Nichols, DMD, MD 266 Katherine Dr, Jackson, MS 39232-8801 Ph: (601) 420-3223 |
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