Sara R Nichols, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Braddock, Pennsylvania. Her current practice location is
501 Braddock Ave, Braddock, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 636-5044.
Sara R Nichols is licensed to practice in Pennsylvania (license number SP025875) 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 1083347744.
Provider's Profile
| Full Name | Sara R Nichols |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 501 Braddock Ave, Braddock, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083347744
- Provider Enumeration Date: 07/08/2022
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567848500
- Enrollment ID: I20220929000079
Medical Identifiers
Medical identifiers for Sara R Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083347744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP025875 (Pennsylvania) | 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. Sara R Nichols allows following entities to bill medicare on her behalf.
| Entity Name | Allegheny Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073081493
PECOS PAC ID: 5395649586
Enrollment ID: O20040310000602 |
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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. Sara R 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 |
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Sara R Nichols, CRNP
501 Braddock Ave,
Braddock, PA 15104-1856
Ph: (412) 636-5044 | Sara R Nichols, CRNP
501 Braddock Ave,
Braddock, PA 15104-1856
Ph: (412) 636-5044 |
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