Dr Kody A Nichols, MD in Fayetteville, AR

Dr Kody A Nichols, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, Arkansas. His current practice location is 3380 N Futrall Dr Ste 1, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 442-7322.

Dr Kody A Nichols is licensed to practice in Arkansas (license number E-11455) 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 1255726097.

Contact Information

	Dr Kody A Nichols, MD
	3380 N Futrall Dr Ste 1, Fayetteville, AR 72703-4815
	(479) 442-7322
	(479) 442-7379

Map and Direction

Physician's Profile

Full Name	Dr Kody A Nichols
Gender	Male
Speciality	Pediatrics
Location	3380 N Futrall Dr Ste 1, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255726097
Provider Enumeration Date: 03/30/2015
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9032425376
Enrollment ID: I20180725003281

Medical Identifiers

Medical identifiers for Dr Kody A Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255726097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-11455 (Arkansas)	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 Kody A Nichols allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

Entity Name	Medical Associates Of Northwest Arkansas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671

Entity Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789

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 Kody A 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 Kody A Nichols, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038	Dr Kody A Nichols, MD 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703-4815 Ph: (479) 442-7322

Reviews and Comments

Pediatrics Doctors in Fayetteville, AR

Laureen J. Benafield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Virginia Lee Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Sean M. Livingston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Dr. Neil A Tracy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3215 N. North Hill Road, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Meredith Anne Denton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Charles S. Ball, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Matthew G Cheadle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000

Dr Kody A Nichols, MD - Medicare Pediatrics in Fayetteville, AR