Carrie J Nichols, MD in Camp Pendleton, CA

Carrie J Nichols, MD is a medicare enrolled "Family Medicine" physician in Camp Pendleton, California. Her current practice location is 200 Mercy Circle, Family Medicine Dept, Camp Pendleton, California. You can reach out to her office (for appointments etc.) via phone at (760) 719-3616.

Carrie J Nichols is licensed to practice in California (license number A83442) 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 1407809189.

Contact Information

	Carrie J Nichols, MD
	200 Mercy Circle, Family Medicine Dept, Camp Pendleton, CA 92058
	(760) 719-3616
	(760) 725-1101

Map and Direction

Physician's Profile

Full Name	Carrie J Nichols
Gender	Female
Speciality	Family Medicine
Location	200 Mercy Circle, Camp Pendleton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407809189
Provider Enumeration Date: 05/17/2006
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 0345274312
Enrollment ID: I20050920000936

Medical Identifiers

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

Identifier	Type	State	Issuer
1407809189	NPI	-	NPPES
A83442	Other	CA	MEDICAL LICENSE
00A834420	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A83442 (California)	Secondary
207Q00000X	Family Medicine	A83442 (California)	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. Carrie J Nichols allows following entities to bill medicare on her behalf.

Entity Name	Golden State Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770886558 PECOS PAC ID: 4981885951 Enrollment ID: O20110223001018

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. Carrie J 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
Carrie J Nichols, MD 200 Mercy Circle, Family Medicine Dept, Camp Pendleton, CA 92058 Ph: (760) 719-3616	Carrie J Nichols, MD 200 Mercy Circle, Family Medicine Dept, Camp Pendleton, CA 92058 Ph: (760) 719-3616

Reviews and Comments

Family Medicine Doctors in Camp Pendleton, CA

Dr. Mia Carrasco, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-2873
Dr. William Lincoln Roberts, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital, Camp Pendleton, Bldg H100, Santa Margarita Road, Camp Pendleton, CA 92055 Phone: 760-725-1398
Dr. Priya A Yellayi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1048
Alan R Rowley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Building H-100, Camp Pendleton, CA 92055 Phone: 760-725-7352 Fax: 760-725-6668
Dr. Paul S Campbell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital, Camp Pendleton, Bldg H100, #555191, Attn: Code 094, Camp Pendleton, CA 92055 Phone: 619-339-3100 Fax: 888-999-1860
Dr. Keith Stuessi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Building H-100, Camp Pendleton, CA 92055 Phone: 760-331-7203
Dr. Marlene Laura Sanchez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055 Phone: 760-725-8882 Fax: 760-725-1267

Carrie J Nichols, MD - Medicare Family Medicine in Camp Pendleton, CA