Gary Nichols, MD in Santa Rosa, CA - Medicare General Practice

Gary Nichols, MD is a medicare enrolled "Internal Medicine" physician in Santa Rosa, California. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1981 and has 43 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 2455 Summerfield Rd, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 308-2815.

Gary Nichols is licensed to practice in California (license number G73872) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033201587.

Contact Information

	Gary Nichols, MD
	2455 Summerfield Rd, Santa Rosa, CA 95405
	(707) 308-2815
	(707) 573-5439

Map and Direction

Physician's Profile

Full Name	Gary Nichols
Gender	Male
Speciality	General Practice
Experience	43 Years
Location	2455 Summerfield Rd, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gary Nichols attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1981

NPI Data:

NPI Number: 1033201587
Provider Enumeration Date: 09/29/2006
Last Update Date: 07/10/2019

Medicare PECOS Information:

PECOS PAC ID: 3971545302
Enrollment ID: I20050525001260

Medical Identifiers

Medical identifiers for Gary Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033201587	NPI	-	NPPES
CP059Z	Other		PTAN
G73872	Other	CA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0000X	Internal Medicine - Hematology	181851 (California)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	181851 (California)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	181851 (California)	Secondary
207R00000X	Internal Medicine	G73872 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

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. Gary Nichols allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Gary 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
Gary Nichols, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 308-2815	Gary Nichols, MD 2455 Summerfield Rd, Santa Rosa, CA 95405 Ph: (707) 308-2815

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100
Dr. Yulia Rivelis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
Soheila Benrazavi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616
Suhana Elamsenthil, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Jarrod Paul Holmes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Gary Nichols, MD - Medicare General Practice in Santa Rosa, CA