Dr Richard Nickerson, MD is a
Surgery physician based in Powhatan, Virginia. Dr Richard Nickerson is licensed to practice in Virginia (license number 0101235652) and his current practice location is 2605 Maple Grove Ln W, Powhatan, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 598-8511.
NPI number for Dr Richard Nickerson is 1679682470 and his current mailing address is 2605 Maple Grove Ln E, Powhatan, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679682470.
Physician's Profile
| Full Name | Dr Richard Nickerson |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 2605 Maple Grove Ln W, Powhatan, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679682470
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Richard Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679682470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 0101235652 (Virginia) | Primary |
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 Richard Nickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard Nickerson, MD
2605 Maple Grove Ln E,
Powhatan, VA 23139
Ph: (804) 598-8511 | Dr Richard Nickerson, MD
2605 Maple Grove Ln W,
Powhatan, VA 23139-5041
Ph: (804) 598-8511 |
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