Mr Jasen Ralph Nichols, MA - Medicare Psychologist in Elizabeth, WV

  1. Home
  2. Psychologists
  3. WV
  4. Elizabeth
Mr Jasen Ralph Nichols, MA is a medicare enrolled "Psychologist - Clinical" provider in Elizabeth, West Virginia. His current practice location is 483 Court Street, Elizabeth, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 275-3301.

Mr Jasen Ralph Nichols is licensed to practice in West Virginia (license number 1011) 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 1528332921.

Contact Information

Mr Jasen Ralph Nichols, MA
483 Court Street,
Elizabeth, WV 26143-0609
(304) 275-3301
(304) 275-4798

Map and Direction




Healthcare Provider's Profile

Full NameMr Jasen Ralph Nichols
GenderMale
SpecialityPsychologist - Clinical
Location483 Court Street, Elizabeth, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528332921
  • Provider Enumeration Date: 03/02/2012
  • Last Update Date: 02/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9830476845
  • Enrollment ID: I20240503002832

Medical Identifiers

Medical identifiers for Mr Jasen Ralph Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528332921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1011 (West Virginia)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. Mr Jasen Ralph Nichols allows following entities to bill medicare on his behalf.
Entity NameRitchie County Primary Care Assoc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265404230
PECOS PAC ID: 0244142453
Enrollment ID: O20031105000082
Entity NameRitchie County Primary Care Assoc Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1265404230
PECOS PAC ID: 0244142453
Enrollment ID: O20080729000000

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. Mr Jasen Ralph 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 AddressPractice Location Address
Mr Jasen Ralph Nichols, MA
Po Box 609,
Elizabeth, WV 26143-0609

Ph: (304) 275-3301		Mr Jasen Ralph Nichols, MA
483 Court Street,
Elizabeth, WV 26143-0609

Ph: (304) 275-3301

Reviews and Comments


Psychologist in Elizabeth, WV

Robert Childers,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 789 Mulberry St., Elizabeth, WV 26143
Phone: 304-485-6513    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.