| Austin Nichols, MD | |
|
101 Marcley Dr, Martinsburg, WV 25401-2977 | |
| (304) 263-8911 | |
| (304) 263-9450 |
| Full Name | Austin Nichols |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 101 Marcley Dr, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861139263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 88140 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 35490 (West Virginia) | Primary |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Entity Name | Self Regional Healthcare Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Nichols, MD 220 Campus Blvd Ste 320, Winchester, VA 22601-2889 Ph: (540) 536-5100 | Austin Nichols, MD 101 Marcley Dr, Martinsburg, WV 25401-2977 Ph: (304) 263-8911 |
Dr. Mehran Khajavi, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1004 Sushruta Dr Ste C, Martinsburg, WV 25401 Phone: 304-264-0888 Fax: 304-264-0878 | |
Dr. Travis Schildt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Foxcroft Ave, Suite 110, Martinsburg, WV 25401 Phone: 304-264-3660 Fax: 304-264-3665 | |
Dr. Zangeetha Perinpanathan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Campus Dr Ste 200, Martinsburg, WV 25404 Phone: 304-274-6343 Fax: 304-596-5717 | |
Rachel Lea Livengood, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Marcley Dr, Martinsburg, WV 25401 Phone: 304-263-8911 Fax: 304-263-9450 | |
Dr. Nilay Bhasker Thaker, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 484 Williamsport Pike # 151, Martinsburg, WV 25404 Phone: 630-730-0302 | |
Sharon Elizabeth Rice, FNPC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811 | |
Mrs. Tiffany Lynn Heerd, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 S Louisiana Ave, Martinsburg, WV 25401 Phone: 681-260-2259 |