Dr Ramon L Nichols, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Leavenworth, Kansas. His current practice location is
1100 N 4th St, Leavenworth, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 297-9945.
Dr Ramon L Nichols is licensed to practice in Missouri (license number R5D43) 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 1619088879.
Physician's Profile
| Full Name | Dr Ramon L Nichols |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1100 N 4th St, Leavenworth, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619088879
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103953195
- Enrollment ID: I20100422000989
Medical Identifiers
Medical identifiers for Dr Ramon L Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619088879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | R5D43 (Missouri) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 04-29635 (Kansas) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 04-26935 (Kansas) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | R5D43 (Missouri) | 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 Ramon L Nichols allows following entities to bill medicare on his behalf.
| Entity Name | Emergent Care Plus Of Overland Park Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811224371
PECOS PAC ID: 8123153939
Enrollment ID: O20100318000649 |
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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 Ramon L 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 Ramon L Nichols, MD
2741 Ne Mcbaine Dr,
Lees Summit, MO 64064-7880
Ph: (816) 554-2600 | Dr Ramon L Nichols, MD
1100 N 4th St,
Leavenworth, KS 66048-1572
Ph: (913) 297-9945 |
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