Mrs Kim Nichols, MA, LMFTA in Durham, NC - Medicare Marriage & Family Therapist Provider

Mrs Kim Nichols, MA, LMFTA is a medicare enrolled "Marriage & Family Therapist" provider in Durham, North Carolina. Her current practice location is 5315 Highgate Dr Ste 102, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 418-1718.

Mrs Kim Nichols is licensed to practice in North Carolina (license number 12133A) 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 1588217004.

Contact Information

	Mrs Kim Nichols, MA, LMFTA
	5315 Highgate Dr Ste 102, Durham, NC 27713-6623
	(919) 418-1718
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kim Nichols
Gender	Female
Speciality	Marriage & Family Therapist
Location	5315 Highgate Dr Ste 102, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588217004
Provider Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 1456892710
Enrollment ID: I20240926001651

Medical Identifiers

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

Identifier	Type	State	Issuer
1588217004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	12133A (North Carolina)	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. Mrs Kim Nichols allows following entities to bill medicare on her behalf.

Entity Name	Tonya D Armstrong Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235264730 PECOS PAC ID: 9335565712 Enrollment ID: O20200817000211

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. Mrs Kim 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
Mrs Kim Nichols, MA, LMFTA 5378 Jessip St, Morrisville, NC 27560-7502 Ph: (919) 765-0168	Mrs Kim Nichols, MA, LMFTA 5315 Highgate Dr Ste 102, Durham, NC 27713-6623 Ph: (919) 418-1718

Reviews and Comments

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Mrs Kim Nichols, MA, LMFTA - Medicare Couples Therapy in Durham, NC