Russel James Nichols, MD is a medicare enrolled "Emergency Medicine" physician in Heppner, Oregon. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Anthony Hospital and his current practice location is
130 Thompson Avenue, Heppner, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 676-5504.
Russel James Nichols is licensed to practice in Oregon (license number MD22062) 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 1730187436.
Physician's Profile
Full Name | Russel James Nichols |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 26 Years |
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Location | 130 Thompson Avenue, Heppner, Oregon |
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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:
- Russel James Nichols graduated from medical school in 1998
NPI Data:
- NPI Number: 1730187436
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022002898
- Enrollment ID: I20071010000300
Medical Identifiers
Medical identifiers for Russel James Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730187436 | NPI | - | NPPES |
287633 | Medicaid | OR | |
106707 | Other | OR | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD22062 (Oregon) | Secondary |
207Q00000X | Family Medicine | MD00039026 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD22062 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Anthony Hospital | 3678568268 | 15 |
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. Russel James Nichols allows following entities to bill medicare on his behalf.
Entity Name | Good Shepherd Health Care System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
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Entity Name | St Anthony Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831169903 PECOS PAC ID: 3678568268 Enrollment ID: O20040414001635 |
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Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
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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. Russel James 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 |
Russel James Nichols, MD Po Box 9, 564 E Pioneer Dr, Heppner, OR 97836 Ph: (541) 676-5504 | Russel James Nichols, MD 130 Thompson Avenue, Heppner, OR 97836 Ph: (541) 676-5504 |
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