Keith A Nichols Md, Pllc is a medicare enrolled primary clinic (Family Medicine) in Owego, New York. The current practice location for Keith A Nichols Md, Pllc is 130 Temple St, Suite 100, Owego, New York. For appointments, you can reach them via phone at
(607) 687-5616. The mailing address for Keith A Nichols Md, Pllc is 130 Temple St, Suite 100, Owego, New York and phone number is (607) 687-5616.
Keith A Nichols Md, Pllc is licensed to practice in New York (license number 141416-1). The clinic also participates in the medicare program and its
NPI number is 1346421211. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(607) 687-5616.
Primary Care Clinic Profile
Full Name | Keith A Nichols Md, Pllc |
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Speciality | Family Medicine |
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Location | 130 Temple St, Owego, New York |
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Authorized Official Name and Position | Jane E Nichols (BUSINESS MANAGER) |
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Authorized Official Contact | 6076875616 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keith A Nichols Md, Pllc 130 Temple St Suite 100 Owego NY 13827-1408 Ph: (607) 687-5616 | Keith A Nichols Md, Pllc 130 Temple St Suite 100 Owego NY 13827-1408 Ph: (607) 687-5616 |
NPI Details:
NPI Number | 1346421211 |
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Provider Enumeration Date | 11/20/2007 |
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Last Update Date | 11/20/2007 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 3779503883 |
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Medicare Enrollment ID | O20051205000565 |
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Medical Identifiers
Medical identifiers for Keith A Nichols Md, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346421211 | NPI | - | NPPES |
00709866 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 141416-1 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Keith A Nichols Md, Pllc acts as a billing entity for following providers:
Provider Name | Keith A Nichols |
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Provider Type | Practitioner - Family Practice |
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Provider Identifiers | NPI Number: 1124098785 PECOS PAC ID: 0547288094 Enrollment ID: I20051103000659 |
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