Charles Wayne Nichols Jr, PT in Fort Worth, TX - Medicare Physical Therapy Provider

Charles Wayne Nichols Jr, PT is a medicare enrolled "Physical Therapist" provider in Fort Worth, Texas. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Blacketer Enterprises, Inc and his current practice location is 855 Montgomery St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 735-3627.

Charles Wayne Nichols Jr is licensed to practice in Texas (license number 1046365) 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 1437355583.

Contact Information

	Charles Wayne Nichols Jr, PT
	855 Montgomery St, Fort Worth, TX 76107-2553
	(817) 735-3627
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Wayne Nichols Jr
Gender	Male
Speciality	Physical Therapy
Experience	38 Years
Location	855 Montgomery St, Fort Worth, Texas
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:

Charles Wayne Nichols Jr graduated from medical school in 1986

NPI Data:

NPI Number: 1437355583
Provider Enumeration Date: 06/25/2007
Last Update Date: 10/22/2012

Medicare PECOS Information:

PECOS PAC ID: 7315100815
Enrollment ID: I20120521000347

Medical Identifiers

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

Identifier	Type	State	Issuer
1437355583	NPI	-	NPPES
036784902	Medicaid	TX
875T14	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1046365 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blacketer Enterprises, Inc	4981884905	16

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

Provider Name	University Of North Texas Health Science Center At Fort Worth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376645564 PECOS PAC ID: 6103717350 Enrollment ID: O20040324001382

Provider Name	Blacketer Enterprises, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1295046050 PECOS PAC ID: 4981884905 Enrollment ID: O20110209000108

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. Charles Wayne Nichols Jr 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
Charles Wayne Nichols Jr, PT Po Box 99335, Fort Worth, TX 76199-0335 Ph: () -	Charles Wayne Nichols Jr, PT 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-3627

Reviews and Comments

Physical Therapist in Fort Worth, TX

Dr. Kenneth Lawrence Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Camp Bowie Blvd, Fort Worth, TX 76107 Phone: 817-735-5466
Benjamin Cheevers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4108 Boat Club Rd, Fort Worth, TX 76135 Phone: 817-370-9891
Mrs. Danieta Kay Grissman, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12460 Woods Edge Trl, Fort Worth, TX 76244 Phone: 817-637-0368
Christina Thompson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6501 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-370-9891 Fax: 817-370-9894
Dennis J Curnyn, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4750 Bryant Irvin Rd N, Fort Worth, TX 76107 Phone: 817-923-9000 Fax: 817-923-9033
Marcia G Mckay, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4395 Fax: 817-569-4517
Lacey Jo Hope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6849

Charles Wayne Nichols Jr, PT - Medicare Physical Therapist in Fort Worth, TX