Kimberly Marie Nicholls, PAC is a medicare enrolled "Physician Assistant" in Bellaire, Michigan. Her current practice location is
4543 S M 88 Hwy, Bellaire, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 533-8661.
Kimberly Marie Nicholls is licensed to practice in Michigan (license number 5601004234) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467407106.
Provider's Profile
| Full Name | Kimberly Marie Nicholls |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4543 S M 88 Hwy, Bellaire, Michigan |
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| Accepts Medicare Assignments | Yes. She 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:
- Kimberly Marie Nicholls attended and graduated from in
NPI Data:
- NPI Number: 1467407106
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kimberly Marie Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467407106 | NPI | - | NPPES |
| 5601004234 | Other | MI | PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5601004234 (Michigan) | 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. Kimberly Marie 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 |
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Kimberly Marie Nicholls, PAC
Po Box 30516,
Lansing, MI 48909-8016
Ph: (231) 346-6800 | Kimberly Marie Nicholls, PAC
4543 S M 88 Hwy,
Bellaire, MI 49615-9109
Ph: (231) 533-8661 |
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