Brady Wilson Nichols, MD in Winston Salem, NC

Brady Wilson Nichols, MD is a medicare enrolled "Family Medicine" physician in Winston Salem, North Carolina. His current practice location is 1920 W 1st St, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-4479.

Brady Wilson Nichols is licensed to practice in North Carolina (license number 2022-01793) 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 1750842761.

Contact Information

	Brady Wilson Nichols, MD
	1920 W 1st St, Winston Salem, NC 27104-4220
	(336) 716-4479
	Not Available

Map and Direction

Physician's Profile

Full Name	Brady Wilson Nichols
Gender	Male
Speciality	Family Medicine
Location	1920 W 1st St, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750842761
Provider Enumeration Date: 03/31/2019
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8729314620
Enrollment ID: I20221010002735

Medical Identifiers

Medical identifiers for Brady Wilson Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750842761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2022-01793 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Brady Wilson Nichols allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Brady Wilson 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
Brady Wilson Nichols, MD 119 Clubhouse Dr, West Columbia, SC 29172-2587 Ph: (843) 816-1974	Brady Wilson Nichols, MD 1920 W 1st St, Winston Salem, NC 27104-4220 Ph: (336) 716-4479

Reviews and Comments

Family Medicine Doctors in Winston Salem, NC

Jessica Hart St. John, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1834 Wake Forest Rd, Winston Salem, NC 27109 Phone: 336-758-5218
Dr. Timothy Lee Fischer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 336-251-1114
Katherine Farris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Maplewood Ave, Suite 112, Winston Salem, NC 27103 Phone: 336-768-2980 Fax: 336-765-6599
Michael Lee Coates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Matthew Allen Laws, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 312 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-716-7576 Fax: 336-702-9342
Ricky Howard Stugart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Robinhood Medical Plz, Dba Maplewood Family Practice, Winston Salem, NC 27106 Phone: 336-718-0800 Fax: 336-718-0871
Dr. Michele Denise Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7781 N Point Blvd, Winston Salem, NC 27106 Phone: 336-765-3430 Fax: 336-765-3429

Brady Wilson Nichols, MD - Medicare Family Medicine in Winston Salem, NC