Russel James Nichols, MD is a medicare enrolled "Emergency Medicine" physician in Heppner, Oregon. 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 | |
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| Experience | 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. |
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Medical Education and Training:
- Russel James Nichols attended and graduated from in
NPI Data:
- NPI Number: 1730187436
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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