Mr Edward Clay Nichols, FNP in Winnsboro, LA - Medicare Nurse Practitioner

Mr Edward Clay Nichols, FNP is a medicare enrolled "Nurse Practitioner - Family" in Winnsboro, Louisiana. His current practice location is 3326 Front St, Winnsboro, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 435-7333.

Mr Edward Clay Nichols is licensed to practice in Louisiana (license number APO5939) 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 1063745602.

Contact Information

	Mr Edward Clay Nichols, FNP
	3326 Front St, Winnsboro, LA 71295-6487
	(318) 435-7333
	(318) 435-9061

Map and Direction

Provider's Profile

Full Name	Mr Edward Clay Nichols
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3326 Front St, Winnsboro, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063745602
Provider Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009

Medicare PECOS Information:

PECOS PAC ID: 0941342851
Enrollment ID: I20100114000785

Medical Identifiers

Medical identifiers for Mr Edward Clay Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063745602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APO5939 (Louisiana)	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. Mr Edward Clay Nichols allows following entities to bill medicare on his behalf.

Entity Name	Winnsboro Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621326 PECOS PAC ID: 4183511017 Enrollment ID: O20040303001182

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. Mr Edward Clay 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
Mr Edward Clay Nichols, FNP 2375 Highway 130, Winnsboro, LA 71295-7704 Ph: (318) 435-4064	Mr Edward Clay Nichols, FNP 3326 Front St, Winnsboro, LA 71295-6487 Ph: (318) 435-7333

Reviews and Comments

Nurse Practitioner Nurses in Winnsboro, LA

Joyce Pennington Lockard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste A, Winnsboro, LA 71295 Phone: 318-435-8020 Fax: 318-435-8099
John Tyler Ulmer, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Fair Ave, Winnsboro, LA 71295 Phone: 318-435-8020
Mrs. Jessica Ellen Credle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste B, Winnsboro, LA 71295 Phone: 318-239-4860 Fax: 805-295-4715
Mrs. Kimberly R Fannin - Trisler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2106 Loop Rd # C, Winnsboro, LA 71295 Phone: 318-435-4571 Fax: 318-435-3842
Jessica Williams Perry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd Ste A, Winnsboro, LA 71295 Phone: 318-435-6363 Fax: 318-435-3842
Samantha J Wood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2104 Loop Rd Ste C, Winnsboro, LA 71295 Phone: 318-435-4571
Mrs. Shelia Katheleen Perry, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Polk St, Winnsboro, LA 71295 Phone: 318-435-6116

Mr Edward Clay Nichols, FNP - Medicare Nurse Practitioner in Winnsboro, LA