Dr Willis Tyler Nichols, MD | |
1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 | |
(251) 424-1620 | |
(251) 952-6620 |
Full Name | Dr Willis Tyler Nichols |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 1711 N Mckenzie St Ste 201, Foley, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063722684 | NPI | - | NPPES |
214769 | Medicaid | AL | |
105926100 | Medicaid | FL | |
211911 | Medicaid | AL | |
00187592 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 34161 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Baldwin Regional Medical Center | Foley, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foley Clinic Corp. | 5193741759 | 83 |
Entity Name | Foley Clinic Corp. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629027826 PECOS PAC ID: 5193741759 Enrollment ID: O20051021000930 |
Mailing Address | Practice Location Address |
---|---|
Dr Willis Tyler Nichols, MD 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 Ph: (251) 949-3479 | Dr Willis Tyler Nichols, MD 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 Ph: (251) 424-1620 |
Steven W. Kinsey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1711 N Mckenzie St Ste 201, Foley, AL 36535 Phone: 251-952-6597 Fax: 251-952-6620 | |
Kaci Deann Sims, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 N Mckenzie St Ste 201, Foley, AL 36535 Phone: 251-952-6597 Fax: 251-952-6597 | |
Dr. William Garretson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1613 N Mckenzie St, Foley, AL 36535 Phone: 251-949-3920 Fax: 251-949-3930 | |
Darren Michael Rowan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1851 N. Mckenzie Street, Suite 101, Foley, AL 36535 Phone: 251-424-1620 Fax: 251-424-1621 | |
Dr. Jeffrey L Caylor, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 N Mckenzie St Ste 201, Foley, AL 36535 Phone: 251-952-6597 Fax: 251-952-6620 | |
David Wayne Cain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 N Mckenzie St, Foley, AL 36535 Phone: 251-943-8082 Fax: 251-943-8092 |