Emma D Nicholls, PHD, HSPP in Evansville, IN - Medicare Psychologist Provider

Emma D Nicholls, PHD, HSPP is a medicare enrolled "Psychologist" provider in Evansville, Indiana. Her current practice location is 7300 E Indiana St, Ste 103, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 401-8008.

Emma D Nicholls is licensed to practice in Indiana (license number 20041775) 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 1649347758.

Contact Information

	Emma D Nicholls, PHD, HSPP
	7300 E Indiana St, Ste 103, Evansville, IN 47715-2794
	(812) 401-8008
	(812) 401-8201

Map and Direction

Healthcare Provider's Profile

Full Name	Emma D Nicholls
Gender	Female
Speciality	Psychologist
Location	7300 E Indiana St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649347758
Provider Enumeration Date: 11/30/2006
Last Update Date: 07/07/2011

Medicare PECOS Information:

PECOS PAC ID: 2769557784
Enrollment ID: I20080826000333

Medical Identifiers

Medical identifiers for Emma D Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649347758	NPI	-	NPPES
200411690	Medicaid	IN
000000256887	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20041775 (Indiana)	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. Emma D Nicholls allows following entities to bill medicare on her behalf.

Entity Name	Easter Seals Rehabilitation Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003979964 PECOS PAC ID: 8426135179 Enrollment ID: O20080407000063

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. Emma D Nicholls 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
Emma D Nicholls, PHD, HSPP Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181	Emma D Nicholls, PHD, HSPP 7300 E Indiana St, Ste 103, Evansville, IN 47715-2794 Ph: (812) 401-8008

Reviews and Comments

Psychologist in Evansville, IN

Dr. Stacy J Blankenbuehler, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9779 Fax: 812-426-6610
Michelle E Mastin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave # 100, Evansville, IN 47714 Phone: 812-485-6694
Brian Thomas Longwell, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9862 Fax: 812-426-9779
Prof. Nannette Stump, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-5612 Fax: 812-485-5628
Dr. John F Ireland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 N Green River Rd, Suite 910, Evansville, IN 47715 Phone: 812-479-1916 Fax: 812-479-5014
Ms. Dawn Shaner Gable, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 819 W Franklin St, Evansville, IN 47710 Phone: 812-491-1805 Fax: 812-491-1929
Dr. Larry Dale Archer, CLINICAL PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 Phone: 812-465-6202

Emma D Nicholls, PHD, HSPP - Medicare Psychologist in Evansville, IN