Stefan Nichols, in Dunwoody, GA - Medicare Chiropractor Provider

Stefan Nichols, is a medicare enrolled "Chiropractor - Rehabilitation" provider in Dunwoody, Georgia. His current practice location is 1713 Mount Vernon Rd, Dunwoody, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 399-6772.

Stefan Nichols is licensed to practice in Georgia (license number CHIRO10851) 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 1598451767.

Contact Information

	Stefan Nichols,
	1713 Mount Vernon Rd, Dunwoody, GA 30338-4243
	(770) 399-6772
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stefan Nichols
Gender	Male
Speciality	Chiropractor - Rehabilitation
Location	1713 Mount Vernon Rd, Dunwoody, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598451767
Provider Enumeration Date: 04/12/2023
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2163880162
Enrollment ID: I20230623001717

Medical Identifiers

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

Identifier	Type	State	Issuer
1598451767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NR0400X	Chiropractor - Rehabilitation	CHIRO10851 (Georgia)	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. Stefan Nichols allows following entities to bill medicare on his behalf.

Provider Name	Correcting Lives Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427748870 PECOS PAC ID: 1254799257 Enrollment ID: O20230623001304

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. Stefan 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
Stefan Nichols, 1713 Mount Vernon Rd, Dunwoody, GA 30338-4243 Ph: (770) 399-6772	Stefan Nichols, 1713 Mount Vernon Rd, Dunwoody, GA 30338-4243 Ph: (770) 399-6772

Reviews and Comments

Chiropractor in Dunwoody, GA

Dr. Stephanie Petron, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1713 Mount Vernon Rd, Suite 2, Dunwoody, GA 30338 Phone: 770-399-6772
Twila Blossom Jones, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4490 Chamblee Dunwoody Rd Ste D, Dunwoody, GA 30338 Phone: --
Brett Sesma, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1705 Mount Vernon Rd Ste A, Dunwoody, GA 30338 Phone: 770-391-2771
The Centered Body Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1705 Mount Vernon Rd, Suite B, Dunwoody, GA 30338 Phone: 770-936-9707 Fax: 770-936-9717
Dr. Tanvi Desai, D.C, Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1705 Mount Vernon Rd Ste A, Dunwoody, GA 30338 Phone: 404-509-5524
Gregory Gutierrez, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4780 Ashford Dunwoody Rd Ste 530, Dunwoody, GA 30338 Phone: 678-585-4827
Dunwoody Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1867 Independence Sq, Suite 100, Dunwoody, GA 30338 Phone: 770-551-9767 Fax: 770-393-0292

Stefan Nichols, - Medicare Chiropractor in Dunwoody, GA