Dr Sandra Beverly Nichols, MD is a medicare enrolled "Emergency Medicine" physician in Colorado Spgs, Colorado. Her current practice location is
6001 E Woodmen Rd, Colorado Spgs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 571-1476.
Dr Sandra Beverly Nichols is licensed to practice in North Carolina (license number 191457) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952747024.
Physician's Profile
Full Name | Dr Sandra Beverly Nichols |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 6001 E Woodmen Rd, Colorado Spgs, Colorado |
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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: 1952747024
- Provider Enumeration Date: 05/16/2013
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446540595
- Enrollment ID: I20160602001526
Medical Identifiers
Medical identifiers for Dr Sandra Beverly Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952747024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 191457 (North Carolina) | 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. Dr Sandra Beverly Nichols allows following entities to bill medicare on her behalf.
Entity Name | Usacs Of Colorado Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
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Entity Name | Usacs Observation Medicine Services Of Colorado Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518491232 PECOS PAC ID: 9133498074 Enrollment ID: O20170707002144 |
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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. Dr Sandra Beverly 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 |
Dr Sandra Beverly Nichols, MD 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 Ph: () - | Dr Sandra Beverly Nichols, MD 6001 E Woodmen Rd, Colorado Spgs, CO 80923-2601 Ph: (719) 571-1476 |
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