Dr Kellyrose Mary Nichols, DO - Medicare Family Practice in Le Roy, NY

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Dr Kellyrose Mary Nichols, DO is a medicare enrolled "Family Medicine" physician in Le Roy, New York. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Of Rochester and her current practice location is 8745 Lake Street Rd, Le Roy, New York. You can reach out to her office (for appointments etc.) via phone at (585) 768-2620.

Dr Kellyrose Mary Nichols is licensed to practice in New York (license number 279405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013274638.

Contact Information

Dr Kellyrose Mary Nichols, DO
8745 Lake Street Rd,
Le Roy, NY 14482-9344
(585) 768-2620
Not Available

Map and Direction




Physician's Profile

Full NameDr Kellyrose Mary Nichols
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location8745 Lake Street Rd, Le Roy, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kellyrose Mary Nichols attended and graduated from Philadelphia College Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1013274638
  • Provider Enumeration Date: 04/20/2012
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355658519
  • Enrollment ID: I20150921001340

Medical Identifiers

Medical identifiers for Dr Kellyrose Mary Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013274638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 279405 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Care And HospiceOlean, NYHospice
Strong Memorial HospitalRochester, NYHospital
United Memorial Medical CenterBatavia, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Rochester5799699088793

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 Kellyrose Mary Nichols allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20130619000286

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 Kellyrose Mary 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 AddressPractice Location Address
Dr Kellyrose Mary Nichols, DO
8745 Lake Street Rd,
Le Roy, NY 14482-9344

Ph: (585) 768-2620		Dr Kellyrose Mary Nichols, DO
8745 Lake Street Rd,
Le Roy, NY 14482-9344

Ph: (585) 768-2620

Reviews and Comments


Family Medicine Doctors in Le Roy, NY

Amanda H Stermer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 127 W Main St, Le Roy, NY 14482
Phone: 585-768-2620    Fax: 585-768-2694
Dr. Andrea Naomi Kudel, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8745 Lake Street Rd, Le Roy, NY 14482
Phone: 585-768-2620    Fax: 585-768-2694
Tania Aguilar, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 127 W Main St, Le Roy, NY 14482
Phone: 585-768-2620    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.