Dr Jared Wade Nichols, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Joplin, Missouri. He went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2014 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Memorial Hospital District and his current practice location is
2901 Saint Johns Blvd, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 208-0733.
Dr Jared Wade Nichols is licensed to practice in Missouri (license number 2016007756) 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 1982018727.
Physician's Profile
Full Name | Dr Jared Wade Nichols |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 11 Years |
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Location | 2901 Saint Johns Blvd, Joplin, Missouri |
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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 Jared Wade Nichols attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2014
NPI Data:
- NPI Number: 1982018727
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587954409
- Enrollment ID: I20160606002094
Medical Identifiers
Medical identifiers for Dr Jared Wade Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982018727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2016007756 (Missouri) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | 2016007756 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Memorial Hospital District | 0345153680 | 12 |
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 Jared Wade Nichols allows following entities to bill medicare on his behalf.
Entity Name | Community Memorial Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619117256 PECOS PAC ID: 0345153680 Enrollment ID: O20031111000910 |
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Entity Name | Ozark Tri-county Health Care Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265428791 PECOS PAC ID: 8123918257 Enrollment ID: O20040330001501 |
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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 Jared Wade 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 Jared Wade Nichols, DO 2901 Saint Johns Blvd, Joplin, MO 64804-1598 Ph: (417) 208-0733 | Dr Jared Wade Nichols, DO 2901 Saint Johns Blvd, Joplin, MO 64804-1598 Ph: (417) 208-0733 |
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