Mr Brian David Nichols, MPT ATC in Star, ID - Medicare Physical Therapy Provider

Mr Brian David Nichols, MPT ATC is a medicare enrolled "Physical Therapist" provider in Star, Idaho. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Nichols Therapy Group P.c. and his current practice location is 9652 W State Street, Star, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 286-0766.

Mr Brian David Nichols is licensed to practice in Idaho (license number RPT1136) 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 1679679088.

Contact Information

	Mr Brian David Nichols, MPT ATC
	9652 W State Street, Star, ID 83669-5858
	(208) 286-0766
	(208) 286-0768

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brian David Nichols
Gender	Male
Speciality	Physical Therapy
Experience	28 Years
Location	9652 W State Street, Star, Idaho
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:

Mr Brian David Nichols graduated from medical school in 1996

NPI Data:

NPI Number: 1679679088
Provider Enumeration Date: 09/15/2006
Last Update Date: 07/02/2012

Medicare PECOS Information:

PECOS PAC ID: 0143209874
Enrollment ID: I20040720001598

Medical Identifiers

Medical identifiers for Mr Brian David Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679679088	NPI	-	NPPES
000010147595	Other	ID	REGENCE BLUE SHIELD
806941900	Medicaid	ID
TA229	Other	ID	BLUE CROSS #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1136 (Idaho)	Secondary
225100000X	Physical Therapist	RPT1136 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nichols Therapy Group P.c.	0345229068	5

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. Mr Brian David Nichols allows following entities to bill medicare on his behalf.

Provider Name	Nichols Therapy Group P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043380769 PECOS PAC ID: 0345229068 Enrollment ID: O20040716000273

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. Mr Brian David 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
Mr Brian David Nichols, MPT ATC 9652 W State Street, Star, ID 83669-5858 Ph: (208) 286-0766	Mr Brian David Nichols, MPT ATC 9652 W State Street, Star, ID 83669-5858 Ph: (208) 286-0766

Reviews and Comments

Physical Therapist in Star, ID

Mrs. Danielle-noelle D. Wuerfel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Cardigan Ave, Star, ID 83669 Phone: 269-277-1224
Northstar Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768
Krysia Kristine Rousseau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 704 N Nebula Ct, Star, ID 83669 Phone: 208-703-9824
Mrs. Judianne King Nichols, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9652 W State Street, Star, ID 83669 Phone: 208-286-0766 Fax: 208-286-0768
Lindsey E. Decloss, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9652 W State St, Star, ID 83669 Phone: 208-286-0766
Clayton Towner Shaw, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 S Star Rd, Star, ID 83669 Phone: 208-268-0089 Fax: 208-488-4248
Boise River Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 64 S Star Road, Suite 2, Star, ID 83669 Phone: 815-540-6065 Fax: 815-380-6355

Mr Brian David Nichols, MPT ATC - Medicare Physical Therapist in Star, ID