Cynthia Nichols, PHD in Traverse City, MI - Medicare Psychologist Provider

Cynthia Nichols, PHD is a medicare enrolled "Psychologist - Clinical" provider in Traverse City, Michigan. Her current practice location is 550 Munson Ave, Ste. 201, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-9307.

Cynthia Nichols is licensed to practice in Michigan (license number 6301008026) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588794069.

Contact Information

	Cynthia Nichols, PHD
	550 Munson Ave, Ste. 201, Traverse City, MI 49686-3580
	(231) 935-9307
	(231) 935-9300

Map and Direction

Healthcare Provider's Profile

Full Name	Cynthia Nichols
Gender	Female
Speciality	Psychologist - Clinical
Location	550 Munson Ave, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588794069
Provider Enumeration Date: 03/06/2007
Last Update Date: 10/31/2018

Medicare PECOS Information:

PECOS PAC ID: 3971547670
Enrollment ID: I20050614000580

Medical Identifiers

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

Identifier	Type	State	Issuer
1588794069	NPI	-	NPPES
CN008026	Other	MI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301008026 (Michigan)	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. Cynthia Nichols allows following entities to bill medicare on her behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336175165 PECOS PAC ID: 3072426287 Enrollment ID: O20051109000463

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. Cynthia 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
Cynthia Nichols, PHD 550 Munson Ave, Ste. 201, Traverse City, MI 49686-3580 Ph: (231) 935-9307	Cynthia Nichols, PHD 550 Munson Ave, Ste. 201, Traverse City, MI 49686-3580 Ph: (231) 935-9307

Reviews and Comments

Psychologist in Traverse City, MI

Arthur M Newhouse, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall St, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Jill L Platte, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall Street, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Dr. Terence Lee Bradley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3926 Village Circle Dr, Traverse City, MI 49686 Phone: 231-938-5900
Quentin Paul Kuntz, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2226 S. Airport Rd. West, Suite A, Traverse City, MI 49684 Phone: 231-947-2442 Fax: 231-947-2446
Kathleen Wong Seitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 West 11th St, Ste 1e, Traverse City, MI 49684 Phone: 231-946-6599
Kristen Ryder, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12935 S West Bay Shore Dr Ste 320, Traverse City, MI 49684 Phone: 231-268-0208
Dr. Elizabeth Garber Bruning, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10850 E Traverse Hwy, Suite 4000, Traverse City, MI 49684 Phone: 231-935-0790 Fax: 231-935-0791

Cynthia Nichols, PHD - Medicare Psychologist in Traverse City, MI