Timothy A Nicholls, MD in Shreveport, LA - Medicare Internal Medicine

Timothy A Nicholls, MD is a medicare enrolled "Internal Medicine" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wk Tri-state Medical Clinic and his current practice location is 2551 Greenwood Rd, Suite 410, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 621-2929.

Timothy A Nicholls is licensed to practice in Louisiana (license number 018515) 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 1457314015.

Contact Information

	Timothy A Nicholls, MD
	2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981
	(318) 621-2929
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy A Nicholls
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	2551 Greenwood Rd, Shreveport, Louisiana
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:

Timothy A Nicholls attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1985

NPI Data:

NPI Number: 1457314015
Provider Enumeration Date: 04/06/2006
Last Update Date: 11/15/2007

Medicare PECOS Information:

PECOS PAC ID: 4486650371
Enrollment ID: I20061017000397

Medical Identifiers

Medical identifiers for Timothy A Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457314015	NPI	-	NPPES
1917745	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	018515 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hme Hlth Dept Willis Knighton	Shreveport, LA	Home health agency
Stat Home Health Of Northwest Louisiana, Llc	Sibley, LA	Home health agency
Kindred At Home	Coushatta, LA	Home health agency
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital
Progressive Care Center	Shreveport, LA	Nursing home
Willis-knighton Extended Care Center	Shreveport, LA	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Tri-state Medical Clinic	0143225128	11

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. Timothy A Nicholls allows following entities to bill medicare on his behalf.

Entity Name	Wk Tri-state Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082746 PECOS PAC ID: 0143225128 Enrollment ID: O20060926000196

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. Timothy A Nicholls 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
Timothy A Nicholls, MD 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 Ph: (318) 621-2929	Timothy A Nicholls, MD 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3981 Ph: (318) 621-2929

Reviews and Comments

Internal Medicine Doctors in Shreveport, LA

Mansi Shah, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530
Pratik Agrawal, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Dr. Bader Alotaibi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400
Paul A Rushing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420
Sanjay Jain, Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411
Steven R Bailey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Venkateswara K Rao, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000

Timothy A Nicholls, MD - Medicare Internal Medicine in Shreveport, LA