Kitra Nichols, FNP in Columbia, SC - Medicare Nurse Practitioner

Kitra Nichols, FNP is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. Her current practice location is 166 Stoneridge Dr, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 461-3000.

Kitra Nichols is licensed to practice in South Carolina (license number 18366) 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 1467893891.

Contact Information

	Kitra Nichols, FNP
	166 Stoneridge Dr, Columbia, SC 29210-8239
	(803) 461-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kitra Nichols
Gender	Female
Speciality	Nurse Practitioner - Family
Location	166 Stoneridge Dr, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467893891
Provider Enumeration Date: 07/15/2013
Last Update Date: 07/15/2013

Medicare PECOS Information:

PECOS PAC ID: 0840410999
Enrollment ID: I20141013001452

Medical Identifiers

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

Identifier	Type	State	Issuer
1467893891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	18366 (South 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. Kitra Nichols allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Oncology Assoc Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467406918 PECOS PAC ID: 6103739024 Enrollment ID: O20031107000064

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. Kitra 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
Kitra Nichols, FNP 166 Stoneridge Dr, Columbia, SC 29210-8239 Ph: () -	Kitra Nichols, FNP 166 Stoneridge Dr, Columbia, SC 29210-8239 Ph: (803) 461-3000

Reviews and Comments

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Kitra Nichols, FNP - Medicare Nurse Practitioner in Columbia, SC