Reggie Allen Nichols, PA-C is a medicare enrolled "Physician Assistant" physician in Tucson, Arizona. His current practice location is
3615 N Prince Village Pl Ste 121, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 225-0584.
Reggie Allen Nichols is licensed to practice in * (Not Available) (license number ) 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 1699325704.
Physician's Profile
Full Name | Reggie Allen Nichols |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 3615 N Prince Village Pl Ste 121, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699325704
- Provider Enumeration Date: 09/19/2019
- Last Update Date: 12/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264867514
- Enrollment ID: I20200115002047
Medical Identifiers
Medical identifiers for Reggie Allen Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699325704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 7631 (Arizona) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 7631 (Arizona) | Secondary |
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. Reggie Allen 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 |
Reggie Allen Nichols, PA-C 7306 S Via Cabana, Tucson, AZ 85756-8358 Ph: (928) 266-6633 | Reggie Allen Nichols, PA-C 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 Ph: (520) 225-0584 |
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