Whitney Nichols, DOCTOR in Maryville, IL - Medicare Physical Therapy Provider

Whitney Nichols, DOCTOR is a medicare enrolled "Physical Therapist" provider in Maryville, Illinois. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Interventional Pain Consultants Llc and her current practice location is 2023 Vadalabene Dr Ste 300, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 288-6722.

Whitney Nichols is licensed to practice in Illinois (license number 070023352) 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 1497237150.

Contact Information

	Whitney Nichols, DOCTOR
	2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846
	(618) 288-6722
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Whitney Nichols
Gender	Female
Speciality	Physical Therapy
Experience	12 Years
Location	2023 Vadalabene Dr Ste 300, Maryville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Whitney Nichols graduated from medical school in 2013

NPI Data:

NPI Number: 1497237150
Provider Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018

Medicare PECOS Information:

PECOS PAC ID: 8426300138
Enrollment ID: I20181008002991

Medical Identifiers

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

Identifier	Type	State	Issuer
1497237150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070023352 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Interventional Pain Consultants Llc	7618225020	8

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. Whitney Nichols allows following entities to bill medicare on her behalf.

Provider Name	Interventional Pain Consultants Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225522063 PECOS PAC ID: 7618225020 Enrollment ID: O20180801001811

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. Whitney 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
Whitney Nichols, DOCTOR 509 S Walnut St, Bethalto, IL 62010-1734 Ph: () -	Whitney Nichols, DOCTOR 2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846 Ph: (618) 288-6722

Reviews and Comments

Physical Therapist in Maryville, IL

Mary Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088
Kristin Ann Lowe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-5624 Fax: 618-288-4088
Anna Mcnamara, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5436 Fax: 618-288-5567
Diane A. Richter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088
Sarah L. Helle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088
Federico Morta David, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2928 N. Center St., Maryville, IL 62062 Phone: 618-288-5711
Alisha Wilken, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088

Whitney Nichols, DOCTOR - Medicare Physical Therapist in Maryville, IL