Ms Katherine M Nichols, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in North Stonington, Connecticut. Her current practice location is
75 Swantown Hl, Stonington Institute, North Stonington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 535-1010.
Ms Katherine M Nichols is licensed to practice in Connecticut (license number 5939) 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 1013956366.
Provider's Profile
Full Name | Ms Katherine M Nichols |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 75 Swantown Hl, North Stonington, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013956366
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 11/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012988504
- Enrollment ID: I20160823000613
Medical Identifiers
Medical identifiers for Ms Katherine M Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013956366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 5939 (Connecticut) | 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. Ms Katherine M Nichols allows following entities to bill medicare on her behalf.
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
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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. Ms Katherine M 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 |
Ms Katherine M Nichols, APRN 75 Swantown Hl, Stonington Insitute, North Stonington, CT 06359-1022 Ph: (860) 535-1010 | Ms Katherine M Nichols, APRN 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 Ph: (860) 535-1010 |
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