Stacie R Nichols, OD is a medicare enrolled "Optometrist" provider in Davenport, Washington. She went to Pacific University - College Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. Her current practice location is
506 8th St., Davenport, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 725-2000.
Stacie R Nichols is licensed to practice in Washington (license number OD00003248) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912927518.
Healthcare Provider's Profile
| Full Name | Stacie R Nichols |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 29 Years |
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| Location | 506 8th St., Davenport, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacie R Nichols attended and graduated from Pacific University - College Of Optometry in 1995
NPI Data:
- NPI Number: 1912927518
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 04/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 9638069560
- Enrollment ID: I20100924000352
Medical Identifiers
Medical identifiers for Stacie R Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912927518 | NPI | - | NPPES |
| 2025815 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD00003248 (Washington) | 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. Stacie R Nichols allows following entities to bill medicare on her behalf.
| Provider Name | Davenport Vision Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447323811
PECOS PAC ID: 7113817040
Enrollment ID: O20040316000906 |
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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. Stacie 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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Stacie R Nichols, OD
Po Box 27,
Davenport, WA 99122-0027
Ph: (509) 725-2000 | Stacie R Nichols, OD
506 8th St.,
Davenport, WA 99122
Ph: (509) 725-2000 |
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