Shawnn D Nichols, MD in San Antonio, TX

Shawnn D Nichols, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in San Antonio, Texas. His current practice location is 7400 Merton Minter Blvd, Medical Staff Office (11m), San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 616-8385.

Shawnn D Nichols is licensed to practice in Ohio (license number 35.084414) 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 1164412094.

Contact Information

	Shawnn D Nichols, MD
	7400 Merton Minter Blvd, Medical Staff Office (11m), San Antonio, TX 78229-4404
	(210) 616-8385
	(210) 443-0322

Map and Direction

Physician's Profile

Full Name	Shawnn D Nichols
Gender	Male
Speciality	Surgery - Surgical Oncology
Location	7400 Merton Minter Blvd, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164412094
Provider Enumeration Date: 10/22/2005
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8224277058
Enrollment ID: I20130626000765

Medical Identifiers

Medical identifiers for Shawnn D Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164412094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	36084412 (Ohio)	Secondary
2086X0206X	Surgery - Surgical Oncology	35.084414 (Ohio)	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. Shawnn D 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
Shawnn D Nichols, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-3334	Shawnn D Nichols, MD 7400 Merton Minter Blvd, Medical Staff Office (11m), San Antonio, TX 78229-4404 Ph: (210) 616-8385

Reviews and Comments

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Shawnn D Nichols, MD - Medicare Surgery in San Antonio, TX