Richard Evan Nichols, MD - Medicare Diagnostic Radiology in Chicago, IL

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Richard Evan Nichols, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chicago, Illinois. He went to Indiana University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Fort Wayne Radiology Associates Llc, Fort Wayne Radiology Associates Llc, Community Hospitals And Wellness Centers and his current practice location is 1501 S California Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 257-6498.

Richard Evan Nichols is licensed to practice in Illinois (license number 036-121270) 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 1780849562.

Contact Information

Richard Evan Nichols, MD
1501 S California Ave,
Chicago, IL 60608-1732
(773) 257-6498
Not Available

Map and Direction




Physician's Profile

Full NameRichard Evan Nichols
GenderMale
SpecialityDiagnostic Radiology
Experience19 Years
Location1501 S California Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard Evan Nichols attended and graduated from Indiana University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1780849562
  • Provider Enumeration Date: 07/22/2008
  • Last Update Date: 11/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1658566443
  • Enrollment ID: I20110805000116

Medical Identifiers

Medical identifiers for Richard Evan Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780849562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036-121270 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Regional Medical CenterFort wayne, INHospital
Community Hospitals And Wellness CentersBryan, OHHospital
Orthopaedic Hospital At Parkview North LlcFort wayne, INHospital
Parkview Wabash Hospital, IncWabash, INHospital
Dekalb HealthAuburn, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fort Wayne Radiology Associates Llc529462406035
Fort Wayne Radiology Associates Llc529462406035
Community Hospitals And Wellness Centers751787809354

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. Richard Evan Nichols allows following entities to bill medicare on his behalf.
Entity NameFort Wayne Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063475861
PECOS PAC ID: 5294624060
Enrollment ID: O20040329000698
Entity NameBreast Diagnostic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790748499
PECOS PAC ID: 9335189513
Enrollment ID: O20050506000308
Entity NameP.e.t. Imaging Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992768691
PECOS PAC ID: 2668412842
Enrollment ID: O20050506000346
Entity NameIntegra Imaging Partners Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1700967353
PECOS PAC ID: 5092863910
Enrollment ID: O20090504000414

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. Richard Evan 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
Richard Evan Nichols, MD
3707 New Vision Dr,
Fort Wayne, IN 46845-1702

Ph: (708) 786-2900		Richard Evan Nichols, MD
1501 S California Ave,
Chicago, IL 60608-1732

Ph: (773) 257-6498

Reviews and Comments


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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.