John Nichols, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Mattoon, Illinois. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is
1000 Health Center Dr, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 238-4325.
John Nichols is licensed to practice in Illinois (license number 209015936) 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 1437666294.
Physician's Profile
| Full Name | John Nichols |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1000 Health Center Dr, Mattoon, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Nichols graduated from medical school in 2016
NPI Data:
- NPI Number: 1437666294
- Provider Enumeration Date: 01/02/2018
- Last Update Date: 01/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486901980
- Enrollment ID: I20180714000155
Medical Identifiers
Medical identifiers for John Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437666294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 209015936 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209015936 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2017028743 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209015936 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sarah Bush Lincoln Health Center | 5092614867 | 327 |
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. John Nichols allows following entities to bill medicare on his behalf.
| Entity Name | Sarah Bush Lincoln Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478 |
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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. John 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 |
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John Nichols, FNP
1005 Health Center Dr Ste 201,
Mattoon, IL 61938-4693
Ph: (217) 238-6055 | John Nichols, FNP
1000 Health Center Dr,
Mattoon, IL 61938
Ph: (217) 238-4325 |
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