Mr Phillip Todd Nichols, MD in Charleston, WV

Mr Phillip Todd Nichols, MD is a medicare enrolled "Otolaryngology" physician in Charleston, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Cmh Physician Services Llc and his current practice location is 500 Donnally St, Suite 200, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 342-0124.

Mr Phillip Todd Nichols is licensed to practice in Virginia (license number 0101273372) 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 1396744652.

Contact Information

	Mr Phillip Todd Nichols, MD
	500 Donnally St, Suite 200, Charleston, WV 25301-1648
	(304) 342-0124
	(304) 340-2204

Map and Direction

Physician's Profile

Full Name	Mr Phillip Todd Nichols
Gender	Male
Speciality	Otolaryngology
Experience	30 Years
Location	500 Donnally St, Charleston, West Virginia
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:

Mr Phillip Todd Nichols attended and graduated from West Virginia University School Of Medicine in 1994

NPI Data:

NPI Number: 1396744652
Provider Enumeration Date: 07/19/2005
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9032254115
Enrollment ID: I20211202002040

Medical Identifiers

Medical identifiers for Mr Phillip Todd Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396744652	NPI	-	NPPES
040014129	Other	WV	RR MEDICARE
1157768001	Other	WV	CIGNA
0300079000	Medicaid	WV
7979026	Other	WV	AETNA
550595497023	Other	WV	BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	19053 (West Virginia)	Secondary
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	0101273372 (Virginia)	Secondary
207Y00000X	Otolaryngology	0101273372 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Memorial Hospital	South hill, VA	Hospital
Medical College Of Virginia Hospitals	Richmond, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cmh Physician Services Llc	3779551445	110

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. Mr Phillip Todd Nichols allows following entities to bill medicare on his behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

Entity Name	Cmh Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171

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. Mr Phillip Todd 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
Mr Phillip Todd Nichols, MD Po Box 1628, Charleston, WV 25326-1628 Ph: (304) 342-0124	Mr Phillip Todd Nichols, MD 500 Donnally St, Suite 200, Charleston, WV 25301-1648 Ph: (304) 342-0124

Reviews and Comments

Otolaryngology Doctors in Charleston, WV

Dr. Richard Austin Wallace, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1306 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-343-4371 Fax: 304-353-0215
Carrie Marie Bush, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 405, Charleston, WV 25302 Phone: 304-388-2980 Fax: 304-388-2981
Marcus Doddridge Shaffer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951
Dr. David Richard Lough, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 Donnally St Ste 200, Charleston, WV 25301 Phone: 304-767-7830 Fax: 304-767-7829
Mr. Michael R Goins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1311 Virginia St. E, Suite 200, Charleston, WV 25301 Phone: 304-353-0200 Fax: 304-353-0337
Dr. Dinchen Anna Jardine, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 830 Pennsylvania Ave Ste 204, Charleston, WV 25302 Phone: 304-388-2980 Fax: 304-388-2981

Mr Phillip Todd Nichols, MD - Medicare Otolaryngology in Charleston, WV