Dr Christopher Todd Nichols, MD | |
8088 Hawks Rd, Leesville, LA 71446-6649 | |
(251) 377-5228 | |
(818) 671-2225 |
Full Name | Dr Christopher Todd Nichols |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 29 Years |
Location | 8088 Hawks Rd, Leesville, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417915596 | NPI | - | NPPES |
1417915596 | Other | LA | BCBS |
1417915596 | Other | LA | AETNA |
1485250 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 00023044 (Alabama) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 311032 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beauregard Memorial Hospital | Deridder, LA | Hospital |
Entity Name | Panoptic Pmr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508482241 PECOS PAC ID: 8628491347 Enrollment ID: O20200716000871 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher Todd Nichols, MD 4012 Barbe Wood Dr, Lake Charles, LA 70605-2316 Ph: (251) 377-5228 | Dr Christopher Todd Nichols, MD 8088 Hawks Rd, Leesville, LA 71446-6649 Ph: (251) 377-5228 |
Lakyn Jeane Reeves, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8088 Hawks Rd, Leesville, LA 71446 Phone: 337-462-8880 | |
Dr. Thomas Charles Laborde, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 900 S 6th St, Leesville, LA 71446 Phone: 877-749-7428 Fax: 512-628-3314 | |
Mckenna Danielle Loftin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8088 Hawks Rd, Leesville, LA 71446 Phone: 337-462-8880 |