Dr Sandra Bruce Nichols, MD is a
Health Maintenance Organization physician based in Reston, Virginia. Dr Sandra Bruce Nichols is licensed to practice in Maryland (license number D60180) and her current practice location is 12018 Sunrise Valley Dr, Suite 400, Reston, Virginia. She can be reached at her office (for appointments etc.) via phone at
(301) 448-6550.
NPI number for Dr Sandra Bruce Nichols is 1780967232 and her current mailing address is 12706 Young Ln, North Potomac, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780967232.
Physician's Profile
Full Name | Dr Sandra Bruce Nichols |
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Gender | Female |
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Speciality | Health Maintenance Organization |
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Location | 12018 Sunrise Valley Dr, Reston, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780967232
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 09/21/2011
Medical Identifiers
Medical identifiers for Dr Sandra Bruce Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780967232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | D60180 (Maryland) | Secondary |
302R00000X | Health Maintenance Organization | D60180 (Maryland) | 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 Sandra Bruce Nichols 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 Sandra Bruce Nichols, MD 12706 Young Ln, North Potomac, MD 20878-6112 Ph: (301) 947-6774 | Dr Sandra Bruce Nichols, MD 12018 Sunrise Valley Dr, Suite 400, Reston, VA 20191-3432 Ph: (301) 448-6550 |
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