Kristie Beth Nichols, MD in Conshohocken, PA

Kristie Beth Nichols, MD is a medicare enrolled "Family Medicine" physician in Conshohocken, Pennsylvania. Her current practice location is 1100 E Hector St, Suite 105, Conshohocken, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 828-2608.

Kristie Beth Nichols is licensed to practice in Pennsylvania (license number MD435394) 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 1154483501.

Contact Information

	Kristie Beth Nichols, MD
	1100 E Hector St, Suite 105, Conshohocken, PA 19428-2374
	(610) 828-2608
	(610) 828-0102

Map and Direction

Physician's Profile

Full Name	Kristie Beth Nichols
Gender	Female
Speciality	Family Medicine
Location	1100 E Hector St, Conshohocken, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154483501
Provider Enumeration Date: 12/14/2006
Last Update Date: 09/30/2015

Medicare PECOS Information:

PECOS PAC ID: 3375699317
Enrollment ID: I20211029000702

Medical Identifiers

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

Identifier	Type	State	Issuer
1154483501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD435394 (Pennsylvania)	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. Kristie Beth Nichols allows following entities to bill medicare on her behalf.

Entity Name	Plushcare Of California Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811378987 PECOS PAC ID: 2365707163 Enrollment ID: O20211007000328

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. Kristie Beth 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
Kristie Beth Nichols, MD 1100 E Hector St, Suite 105, Conshohocken, PA 19428-2374 Ph: (610) 828-2608	Kristie Beth Nichols, MD 1100 E Hector St, Suite 105, Conshohocken, PA 19428-2374 Ph: (610) 828-2608

Reviews and Comments

Family Medicine Doctors in Conshohocken, PA

Mrs. Ritamarie Mancini Clarke, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Fayette Street, Conshohocken, PA 19428 Phone: 610-828-0358 Fax: 610-825-9665
Dr. Sima Assefi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Butler Pike, Apt 159, Conshohocken, PA 19428 Phone: 484-532-7480
Harry A Frankel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Hector St, Suite 105, Conshohocken, PA 19428 Phone: 610-828-2608 Fax: 610-828-0102
Dr. Glenn Miller Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Fayette St, Conshohocken, PA 19428 Phone: 610-828-0358
John Lembeck, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Hector St, Ste 105, Conshohocken, PA 19428 Phone: 610-828-2608 Fax: 610-828-0102
Kenneth J Varano, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm St Ste 201, Conshohocken, PA 19428 Phone: 215-892-1230 Fax: 610-910-3890

Kristie Beth Nichols, MD - Medicare Family Medicine in Conshohocken, PA