Kacy Leigh Nichols, DO - Medicare Family Medicine in Gastonia, NC

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Kacy Leigh Nichols, DO is a medicare enrolled "Family Medicine" physician in Gastonia, North Carolina. Her current practice location is 885 Summit Crossing Place, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-4979.

Kacy Leigh Nichols is licensed to practice in North Carolina (license number 2022-02982) 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 1770103780.

Contact Information

Kacy Leigh Nichols, DO
885 Summit Crossing Place,
Gastonia, NC 28054-2193
(704) 316-4979
(704) 316-4978

Map and Direction




Physician's Profile

Full NameKacy Leigh Nichols
GenderFemale
SpecialityFamily Medicine
Location885 Summit Crossing Place, Gastonia, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770103780
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 08/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688096233
  • Enrollment ID: I20231017003968

Medical Identifiers

Medical identifiers for Kacy Leigh Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770103780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2022-02982 (North Carolina)Primary
207Q00000XFamily Medicine 260755 (North Carolina)Secondary

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. Kacy Leigh Nichols allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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. Kacy Leigh 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 AddressPractice Location Address
Kacy Leigh Nichols, DO
Po Box 60447,
Charlotte, NC 28260-0447

Ph: () -		Kacy Leigh Nichols, DO
885 Summit Crossing Place,
Gastonia, NC 28054-2193

Ph: (704) 316-4979

Reviews and Comments


Family Medicine Doctors in Gastonia, NC

Adnan Ekram, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Court Dr, Suite 270, Gastonia, NC 28054
Phone: 704-834-4390    Fax: 704-834-3274
Dr. Michelle E Wilkinson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3302 S New Hope Rd Ste 100e, Gastonia, NC 28056
Phone: 704-879-4936    Fax: 908-225-0492
Saroj Gyawali, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2000    Fax: 704-834-2500
Cornelius S Okonkwo, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2101 W Franklin Blvd, Gastonia, NC 28052
Phone: 704-867-8855    Fax: 704-867-1414
Dr. Michael Sean Mccartney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 924 Cox Rd, Gastonia, NC 28054
Phone: 704-800-4268    
Lewis Bolin Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1896 Remount Rd, Gastonia, NC 28054
Phone: 704-512-3930    
Kenneth Patrick Edel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 885 Summit Crossing Pl, Gastonia, NC 28054
Phone: 704-316-4979    Fax: 704-316-4978

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.