Dr Jerome Tak Nichols, MD in Roanoke, VA - Medicare Physical Medicine & Rehabilitation

Dr Jerome Tak Nichols, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Roanoke, Virginia. His current practice location is 2331 Franklin Rd Sw, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 510-6200.

Dr Jerome Tak Nichols is licensed to practice in Virginia (license number 0101261482) 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 1386842763.

Contact Information

	Dr Jerome Tak Nichols, MD
	2331 Franklin Rd Sw, Roanoke, VA 24014-1111
	(540) 510-6200
	(540) 857-5306

Map and Direction

Physician's Profile

Full Name	Dr Jerome Tak Nichols
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	2331 Franklin Rd Sw, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386842763
Provider Enumeration Date: 07/06/2007
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2961670757
Enrollment ID: I20170223000957

Medical Identifiers

Medical identifiers for Dr Jerome Tak Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386842763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	070145 (Georgia)	Secondary
208100000X	Physical Medicine & Rehabilitation	TP934 (Kentucky)	Secondary
208100000X	Physical Medicine & Rehabilitation	0101261482 (Virginia)	Primary

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 Jerome Tak Nichols allows following entities to bill medicare on his behalf.

Entity Name	Carilion Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472

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 Jerome Tak 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 Jerome Tak Nichols, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Dr Jerome Tak Nichols, MD 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 Ph: (540) 510-6200

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Roanoke, VA

Dr. Matthew Nathaniel Dawson, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-224-5170 Fax: 540-857-5306
Lydia L Mcneary, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2311 Sanford Ave Sw, Roanoke, VA 24014 Phone: 540-200-8996 Fax: 540-215-5948
Dr. Donald James Arthur, M.D., MSC, MBA Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-224-5170 Fax: 540-857-5306
Dr. Andrea Rose Conti, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-224-5170
Mr. Ricky Randall Lapradd Jr., A.T.C. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2102 Grandin Rd Sw, Roanoke, VA 24015 Phone: 540-853-2158
Dr. Joseph Robert Mallory, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-224-5170
Christian Brody Van Doren, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-224-5170

Dr Jerome Tak Nichols, MD - Medicare Physical Medicine & Rehabilitation in Roanoke, VA