Matthew Nichols, MD is a
Surgery physician based in Jbsa Ft Sam Houston, Texas. Matthew Nichols is licensed to practice in Virginia (license number 0101276534) and his current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 916-5545.
NPI number for Matthew Nichols is 1447819966 and his current mailing address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447819966.
Physician's Profile
| Full Name | Matthew Nichols |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447819966
- Provider Enumeration Date: 06/08/2019
- Last Update Date: 08/10/2023
Medical Identifiers
Medical identifiers for Matthew Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447819966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101276534 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208600000X | Surgery | 0101276534 (Virginia) | Primary |
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. Matthew Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Matthew Nichols, MD
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: (210) 916-5545 | Matthew Nichols, MD
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: (210) 916-5545 |
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