Joel Kenton Nickell, OD is a medicare enrolled "Optometrist" provider in West Liberty, Kentucky. His current practice location is
408 Main St, West Liberty, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 743-4111.
Joel Kenton Nickell is licensed to practice in Kentucky (license number 1035DT) 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 1043352792.
Healthcare Provider's Profile
| Full Name | Joel Kenton Nickell |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 408 Main St, West Liberty, Kentucky |
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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: 1043352792
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 08/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 0840233367
- Enrollment ID: I20050606001084
Medical Identifiers
Medical identifiers for Joel Kenton Nickell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043352792 | NPI | - | NPPES |
| 77010353 | Medicaid | KY | |
| 3859 | Other | KY | CHA |
| 000000068235 | Other | KY | BLUECROSSBLUESHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1035DT (Kentucky) | 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. Joel Kenton Nickell allows following entities to bill medicare on his behalf.
| Provider Name | Nickell And Steele Od |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902279318
PECOS PAC ID: 5395047468
Enrollment ID: O20160106001278 |
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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. Joel Kenton Nickell 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 |
|---|
Joel Kenton Nickell, OD
321 Riverside Dr,
West Liberty, KY 41472-1029
Ph: (606) 743-2554 | Joel Kenton Nickell, OD
408 Main St,
West Liberty, KY 41472-1014
Ph: (606) 743-4111 |
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