Beverly Nichols, is a
Specialist based in Kew Gardens, New York. Beverly Nichols is licensed to practice in New York (license number 9569L001) and her current practice location is
12510 Queens Blvd, Kew Gardens, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 459-5592.
NPI number for Beverly Nichols is 1255403242 and her current mailing address is 12510 Queens Blvd, Kew Gardens, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255403242.
Provider's Profile
| Full Name | Beverly Nichols |
|---|
| Gender | Female |
|---|
| Speciality | Specialist |
|---|
| Location | 12510 Queens Blvd, Kew Gardens, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255403242
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 12/13/2021
Medical Identifiers
Medical identifiers for Beverly Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255403242 | NPI | - | NPPES |
| 01761260 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SH0200X | Clinical Nurse Specialist - Home Health | 9569L001 (New York) | Secondary |
| 374U00000X | Home Health Aide | 9569L001 (New York) | Secondary |
| 174400000X | Specialist | 9569L001 (New York) | 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. Beverly Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beverly Nichols,
12510 Queens Blvd,
Kew Gardens, NY 11415-1519
Ph: (718) 459-5592 | Beverly Nichols,
12510 Queens Blvd,
Kew Gardens, NY 11415-1519
Ph: (718) 459-5592 |
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