Kyle Wayne Nichols, OD in Tunkhannock, PA - Medicare Optometry Provider

Kyle Wayne Nichols, OD is a medicare enrolled "Optometrist" provider in Tunkhannock, Pennsylvania. He went to Pennsylvania College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Richard S Kresloff M D P A and his current practice location is 111 Ash St, Tunkhannock, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 575-6125.

Kyle Wayne Nichols is licensed to practice in Pennsylvania (license number OEG003675) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225652654.

Contact Information

	Kyle Wayne Nichols, OD
	111 Ash St, Tunkhannock, PA 18657-6920
	(570) 575-6125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Wayne Nichols
Gender	Male
Speciality	Optometry
Experience	4 Years
Location	111 Ash St, Tunkhannock, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle Wayne Nichols attended and graduated from Pennsylvania College Of Optometry in 2020

NPI Data:

NPI Number: 1225652654
Provider Enumeration Date: 06/01/2020
Last Update Date: 08/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7719303585
Enrollment ID: I20220224000202

Medical Identifiers

Medical identifiers for Kyle Wayne Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225652654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG003675 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Richard S Kresloff M D P A	1254460348	6

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. Kyle Wayne Nichols allows following entities to bill medicare on his behalf.

Provider Name	Richard S Kresloff M D P A
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427110493 PECOS PAC ID: 1254460348 Enrollment ID: O20100528000060

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. Kyle Wayne 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
Kyle Wayne Nichols, OD 3046 Knights Rd, Bensalem, PA 19020-2815 Ph: (215) 639-4500	Kyle Wayne Nichols, OD 111 Ash St, Tunkhannock, PA 18657-6920 Ph: (570) 575-6125

Reviews and Comments

Optometrist in Tunkhannock, PA

Dr. Davis Charles Haire Sr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10 Trieble Dr, Suite #3, Tunkhannock, PA 18657 Phone: 570-836-2020 Fax: 570-836-5501
Kirsten A Jervis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10 Trieble Dr, Suite 3, Tunkhannock, PA 18657 Phone: 570-836-2020 Fax: 570-836-5501
Charles P Whitling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 304 W Tioga St, Tunkhannock, PA 18657 Phone: 570-836-2224
Davis C. Haire, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10 Trieble Drive, Suite 3, Tunkhannock, PA 18657 Phone: 570-836-2020 Fax: 570-836-5501
Gerard J Hildebrand, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 W Tioga St, Tunkhannock, PA 18657 Phone: 570-836-2224 Fax: 570-836-1125
Davis C Haire Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10 Trieble Dr, Suite 3, Tunkhannock, PA 18657 Phone: 570-836-2020 Fax: 570-836-5501

Kyle Wayne Nichols, OD - Medicare Optometrist in Tunkhannock, PA