Chad Douglas Nix, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. His current practice location is
5841 S Maryland Ave Ste J141, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 702-1150.
Chad Douglas Nix is licensed to practice in Illinois (license number 125.083995) 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 1639923600.
Physician's Profile
Full Name | Chad Douglas Nix |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5841 S Maryland Ave Ste J141, Chicago, 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: 1639923600
- Provider Enumeration Date: 04/15/2024
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456896588
- Enrollment ID: I20240713000271
Medical Identifiers
Medical identifiers for Chad Douglas Nix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639923600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 125.083995 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 125.083995 (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. Chad Douglas Nix 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 |
Chad Douglas Nix, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150 | Chad Douglas Nix, MD 5841 S Maryland Ave Ste J141, Chicago, IL 60637-1443 Ph: (773) 702-1150 |
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