Mr Gary Dale Nichols, PA-C in Fort Leonard Wood, MO

Mr Gary Dale Nichols, PA-C is a Physician Assistant based in Fort Leonard Wood, Missouri. Mr Gary Dale Nichols is licensed to practice in Texas (license number PA02338) and his current practice location is 16th Street, Ctmc, Bldg 885, Fort Leonard Wood, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 596-1680.

NPI number for Mr Gary Dale Nichols is 1437140357 and his current mailing address is 191 Private Road 845, Teague, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437140357.

Contact Information

	Mr Gary Dale Nichols, PA-C
	16th Street, Ctmc, Bldg 885, Fort Leonard Wood, MO 65473
	(573) 596-1680
	(573) 596-0423

Map and Direction

Provider's Profile

Full Name	Mr Gary Dale Nichols
Gender	Male
Speciality	Physician Assistant
Location	16th Street, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1437140357
Provider Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Gary Dale Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437140357	NPI	-	NPPES
PA02338	Other	TX	STATE LICENSE/PERMIT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA02338 (Texas)	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. Mr Gary Dale 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
Mr Gary Dale Nichols, PA-C 191 Private Road 845, Teague, TX 75860-6081 Ph: (254) 625-0310	Mr Gary Dale Nichols, PA-C 16th Street, Ctmc, Bldg 885, Fort Leonard Wood, MO 65473 Ph: (573) 596-1680

Reviews and Comments

Physician Assistant Nurses in Fort Leonard Wood, MO

Mr. Jon-marc Thibodeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035
Rickey Rodger Martin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Charles Gang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417
Mr. Rexford Allan Plank Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Toben Lybarger, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0456
Michael Steven Godat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Mark S Short, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524

Mr Gary Dale Nichols, PA-C - Physician Assistant in Fort Leonard Wood, MO