J Quyen Vu Alexander Nichols, PHD in Salt Lake City, UT

J Quyen Vu Alexander Nichols, PHD is a medicare enrolled "Psychologist - Rehabilitation" provider in Salt Lake City, Utah. His current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

J Quyen Vu Alexander Nichols is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700438231.

Contact Information

	J Quyen Vu Alexander Nichols, PHD
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-2121
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	J Quyen Vu Alexander Nichols
Gender	Male
Speciality	Psychologist - Rehabilitation
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700438231
Provider Enumeration Date: 07/15/2019
Last Update Date: 07/15/2019

Medicare PECOS Information:

PECOS PAC ID: 8022442110
Enrollment ID: I20191224000477

Medical Identifiers

Medical identifiers for J Quyen Vu Alexander Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700438231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TR0400X	Psychologist - Rehabilitation	(* (Not Available))	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. J Quyen Vu Alexander Nichols allows following entities to bill medicare on his behalf.

Entity Name	Seattle Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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. J Quyen Vu Alexander 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
J Quyen Vu Alexander Nichols, PHD 9823 Fox Rest Ln, Vienna, VA 22181-5369 Ph: (703) 801-6233	J Quyen Vu Alexander Nichols, PHD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121

Reviews and Comments

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J Quyen Vu Alexander Nichols, PHD - Medicare Psychologist in Salt Lake City, UT