Dr Nichole Michelle Churchman, MD in Leesville, LA

Dr Nichole Michelle Churchman, MD is a medicare enrolled "Family Medicine" physician in Leesville, Louisiana. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Physical Therapy Services Of West Louisiana Inc, Clhg-leesville and her current practice location is 1017 W Fertitta Blvd, Leesville, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 238-4511.

Dr Nichole Michelle Churchman is licensed to practice in Louisiana (license number MD200337) 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 1700916095.

Contact Information

	Dr Nichole Michelle Churchman, MD
	1017 W Fertitta Blvd, Leesville, LA 71446-4646
	(337) 238-4511
	(337) 238-4513

Map and Direction

Physician's Profile

Full Name	Dr Nichole Michelle Churchman
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	1017 W Fertitta Blvd, Leesville, Louisiana
Accepts Medicare Assignments	Yes. 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 Nichole Michelle Churchman graduated from medical school in 2004

NPI Data:

NPI Number: 1700916095
Provider Enumeration Date: 03/06/2007
Last Update Date: 07/15/2013

Medicare PECOS Information:

PECOS PAC ID: 7113013640
Enrollment ID: I20081119000212

Medical Identifiers

Medical identifiers for Dr Nichole Michelle Churchman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700916095	NPI	-	NPPES
1073776	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD200337 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vernon Home Health	Leesville, LA	Home health agency
Elara Caring	Leesville, LA	Home health agency
Dequincy Home Health	Dequincy, LA	Home health agency
Home Health Care 2000- Oakdale	Oakdale, LA	Home health agency
Beauregard Memorial Hosp Hha	Deridder, LA	Home health agency
Byrd Regional Hospital	Leesville, LA	Hospital
Beauregard Memorial Hospital	Deridder, LA	Hospital
Rosepine Retirement & Rehab Center, Llc	Rosepine, LA	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Therapy Services Of West Louisiana Inc	0446388763	63
Clhg-leesville	4082963301	17

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 Nichole Michelle Churchman allows following entities to bill medicare on her behalf.

Entity Name	Byrd Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801895495 PECOS PAC ID: 2860460508 Enrollment ID: O20040921000710

Entity Name	Clhg-leesville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881665164 PECOS PAC ID: 4082963301 Enrollment ID: O20200310000179

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 Nichole Michelle Churchman 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 Nichole Michelle Churchman, MD 1017 W Fertitta Blvd, Leesville, LA 71446-4646 Ph: (337) 238-4511	Dr Nichole Michelle Churchman, MD 1017 W Fertitta Blvd, Leesville, LA 71446-4646 Ph: (337) 238-4511

Reviews and Comments

Family Medicine Doctors in Leesville, LA

Dr. Jacqueline Jennifer Gourdet Dorvil, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3353 University Pkwy, Leesville, LA 71446 Phone: 337-392-3800
Kimberly Landrum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-392-9438 Fax: 337-392-9440
Dr. Timothy J Donovan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 West University Parkway, Leesville, LA 71446 Phone: 337-239-2600 Fax: 337-239-2601
Dr. Melissa K Moss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 S 10th St Ste C, Leesville, LA 71446 Phone: 337-238-4189
Prashanth Pothem, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Fertitta Blvd, Leesville, LA 71446 Phone: 248-635-0979 Fax: 337-392-6206
Dr. James D Patterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3353 University Pkwy, Leesville, LA 71446 Phone: 337-392-3800

Dr Nichole Michelle Churchman, MD - Medicare Family Practice in Leesville, LA