Phillip Nichols, DO - Medicare Family Medicine in Nitro, WV

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Phillip Nichols, DO is a medicare enrolled "Family Medicine" physician in Nitro, West Virginia. His current practice location is 4111 1st Ave Ste 3, Nitro, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 755-4797.

Phillip Nichols is licensed to practice in West Virginia (license number 4139) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710515838.

Contact Information

Phillip Nichols, DO
4111 1st Ave Ste 3,
Nitro, WV 25143-1345
(304) 755-4797
(304) 755-4799

Map and Direction




Physician's Profile

Full NamePhillip Nichols
GenderMale
SpecialityFamily Medicine
Location4111 1st Ave Ste 3, Nitro, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710515838
  • Provider Enumeration Date: 04/01/2020
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143644260
  • Enrollment ID: I20231214003853

Medical Identifiers

Medical identifiers for Phillip Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710515838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 4139 (West Virginia)Secondary
207Q00000XFamily Medicine 4139 (West Virginia)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. Phillip Nichols allows following entities to bill medicare on his behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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. Phillip 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
Phillip Nichols, DO
400 Association Dr Ste 102,
Charleston, WV 25311-1298

Ph: (304) 388-1724		Phillip Nichols, DO
4111 1st Ave Ste 3,
Nitro, WV 25143-1345

Ph: (304) 755-4797

Reviews and Comments


Family Medicine Doctors in Nitro, WV

Joseph Zachary Wiley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4111 1st Ave Ste 3, Nitro, WV 25143
Phone: 304-755-4797    Fax: 304-755-4799
Mr. Gregory Mark Moreland, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2206 22nd St, Nitro, WV 25143
Phone: 304-755-1571    Fax: 304-755-3091
Lucas Goodwin, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4111 1st Ave Ste 3, Nitro, WV 25143
Phone: 304-755-4797    
Dr. Victoria Morgan Bullman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4111 1st Ave Ste 2, Nitro, WV 25143
Phone: 304-755-4797    

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.