Dr Benjamin Joseph Nichols, MD in Greenbrae, CA

Dr Benjamin Joseph Nichols, MD is a medicare enrolled "Dermatology" physician in Greenbrae, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Greenbrae Dermatology, A Medical Corporation and his current practice location is 1300 S Eliseo Dr, Suite 207, Greenbrae, California. You can reach out to his office (for appointments etc.) via phone at (415) 925-0550.

Dr Benjamin Joseph Nichols is licensed to practice in California (license number A97389) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790983237.

Contact Information

	Dr Benjamin Joseph Nichols, MD
	1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023
	(415) 925-0550
	(415) 925-9062

Map and Direction

Physician's Profile

Full Name	Dr Benjamin Joseph Nichols
Gender	Male
Speciality	Dermatology
Experience	20 Years
Location	1300 S Eliseo Dr, Greenbrae, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Benjamin Joseph Nichols attended and graduated from University Of Southern California Keck School Of Medicine in 2005

NPI Data:

NPI Number: 1790983237
Provider Enumeration Date: 07/05/2007
Last Update Date: 10/11/2017

Medicare PECOS Information:

PECOS PAC ID: 8820140916
Enrollment ID: I20090908000053

Medical Identifiers

Medical identifiers for Dr Benjamin Joseph Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790983237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A97389 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greenbrae Dermatology, A Medical Corporation	4789832908	6

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. Dr Benjamin Joseph Nichols allows following entities to bill medicare on his behalf.

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164497285 PECOS PAC ID: 5496668410 Enrollment ID: O20041015000522

Entity Name	Greenbrae Dermatology, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174898654 PECOS PAC ID: 4789832908 Enrollment ID: O20130123000375

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 Benjamin Joseph 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 Benjamin Joseph Nichols, MD 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 Ph: (415) 925-0550	Dr Benjamin Joseph Nichols, MD 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 Ph: (415) 925-0550

Reviews and Comments

Dermatology Doctors in Greenbrae, CA

Cheryl Ann Tanasovich, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904 Phone: 415-925-0550 Fax: 415-925-9062
John L. Maddox, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904 Phone: 415-925-0550 Fax: 415-925-9062
Dr. Diana Deangelis Parnell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 S Eliseo Dr, Suite 2, Greenbrae, CA 94904 Phone: 415-461-1036 Fax: 415-461-1043

Dr Benjamin Joseph Nichols, MD - Medicare Dermatology in Greenbrae, CA