Amanda Diane Nichols, MD | |
3 E Benjamin Dr, New Martinsville, WV 26155-2705 | |
(304) 455-8080 | |
(304) 455-8141 |
Full Name | Amanda Diane Nichols |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 24 Years |
Location | 3 E Benjamin Dr, New Martinsville, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396731683 | NPI | - | NPPES |
3810000901 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21641 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wetzel County Hospital | New martinsville, WV | Hospital |
Reynolds Memorial Hospital | Glen dale, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wetzel County Hospital Inc | 4284065400 | 40 |
Entity Name | City Of Sistersville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861495335 PECOS PAC ID: 5698672350 Enrollment ID: O20031218001035 |
Entity Name | Wetzel County Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699728337 PECOS PAC ID: 4688575319 Enrollment ID: O20040211000243 |
Entity Name | Wetzel County Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518590033 PECOS PAC ID: 4284065400 Enrollment ID: O20200520000593 |
Mailing Address | Practice Location Address |
---|---|
Amanda Diane Nichols, MD 3 E Benjamin Dr, New Martinsville, WV 26155-2705 Ph: (304) 455-8080 | Amanda Diane Nichols, MD 3 E Benjamin Dr, New Martinsville, WV 26155-2705 Ph: (304) 455-8080 |
Jessica Maria Lewis, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 225 Russell Ave, New Martinsville, WV 26155 Phone: 304-455-2600 | |
Mr. Edward Lee Emch, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 261 Monroe Ave, New Martinsville, WV 26155 Phone: 304-455-4944 Fax: 304-455-4968 | |
Dr. Donald Alan Blum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 E Benjamin Dr Ste B, New Martinsville, WV 26155 Phone: 304-455-8082 | |
Gary A Nichols, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8080 Fax: 304-455-8141 |