Dr Tina Marie Nichols, MD in Horseheads, NY

Dr Tina Marie Nichols, MD is a medicare enrolled "Pediatrics" physician in Horseheads, New York. Her current practice location is 3344 Chambers Rd Ste 200, Horseheads, New York. You can reach out to her office (for appointments etc.) via phone at (607) 734-2264.

Dr Tina Marie Nichols is licensed to practice in New York (license number 244202) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669679916.

Contact Information

	Dr Tina Marie Nichols, MD
	3344 Chambers Rd Ste 200, Horseheads, NY 14845-1403
	(607) 734-2264
	(607) 734-2932

Map and Direction

Physician's Profile

Full Name	Dr Tina Marie Nichols
Gender	Female
Speciality	Pediatrics
Location	3344 Chambers Rd Ste 200, Horseheads, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669679916
Provider Enumeration Date: 06/29/2007
Last Update Date: 03/02/2021

Medicare PECOS Information:

PECOS PAC ID: 7719120450
Enrollment ID: I20131021001274

Medical Identifiers

Medical identifiers for Dr Tina Marie Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669679916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	244202 (New York)	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 Tina Marie Nichols allows following entities to bill medicare on her behalf.

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220

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 Tina Marie 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 Tina Marie Nichols, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858	Dr Tina Marie Nichols, MD 3344 Chambers Rd Ste 200, Horseheads, NY 14845-1403 Ph: (607) 734-2264

Reviews and Comments

Pediatrics Doctors in Horseheads, NY

Dr. Olusoji Derek Olakanpo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 100, Horseheads, NY 14845 Phone: 607-734-2264
Dr. Ravi Raj Kavuda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 John Roemmelt Dr Ste 203, Horseheads, NY 14845 Phone: 607-481-2059 Fax: 607-367-5007
Alan B Roessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932
Dr. Eileen M Reardon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2778 Westinghouse Rd, Horseheads, NY 14845 Phone: 607-739-1076
John Juriga, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932
Amy L White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-767-0340

Dr Tina Marie Nichols, MD - Medicare Pediatrics in Horseheads, NY