| Cooper L Nickel, MD | |
|
761 W 175th St S, Caldwell, KS 67022-8301 | |
| (620) 845-6492 | |
| Not Available |
| Full Name | Cooper L Nickel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 761 W 175th St S, Caldwell, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396279378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-41127 (Kansas) | Primary |
| 207P00000X | Emergency Medicine | 04-41127 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meade District Hospital | Meade, KS | Hospital |
| Sumner County Hospital District No 1 | Caldwell, KS | Hospital |
| Phillips County Hospital | Phillipsburg, KS | Hospital |
| F W Huston Medical Center | Winchester, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sumner County Hospital District No 1 | 6103925268 | 11 |
| Phillips County Hospital | 7012231251 | 11 |
| Decatur Health Systems Inc | 8022928225 | 10 |
| Entity Name | Lincoln County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942265327 PECOS PAC ID: 0941118061 Enrollment ID: O20030908000008 |
| Entity Name | Heartland Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669657029 PECOS PAC ID: 2769477645 Enrollment ID: O20040419001521 |
| Entity Name | Meade Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851584460 PECOS PAC ID: 4284609462 Enrollment ID: O20040831001045 |
| Entity Name | Jefferson County Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750354908 PECOS PAC ID: 6002868445 Enrollment ID: O20050215000085 |
| Entity Name | Lindsborg Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023001021 PECOS PAC ID: 3971556580 Enrollment ID: O20050223000687 |
| Entity Name | Lincoln County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841248952 PECOS PAC ID: 0941118061 Enrollment ID: O20050225000744 |
| Entity Name | Grisell Memorial Hospital District 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588601587 PECOS PAC ID: 3577474824 Enrollment ID: O20050228000862 |
| Entity Name | Decatur Health Systems Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619973468 PECOS PAC ID: 8022928225 Enrollment ID: O20061104000474 |
| Entity Name | Grisell Memorial Hospital District 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003859521 PECOS PAC ID: 3577474824 Enrollment ID: O20070223000305 |
| Entity Name | Sumner County Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215094438 PECOS PAC ID: 6103925268 Enrollment ID: O20080926000428 |
| Entity Name | Decatur Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013222629 PECOS PAC ID: 8022928225 Enrollment ID: O20101007000129 |
| Entity Name | Phillips County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366499717 PECOS PAC ID: 7012231251 Enrollment ID: O20150706002040 |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper L Nickel, MD 4612 Hearthside Dr, Lawrence, KS 66049-3740 Ph: () - | Cooper L Nickel, MD 761 W 175th St S, Caldwell, KS 67022-8301 Ph: (620) 845-6492 |
Jim D Blunk, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 415 S Osage St, Caldwell, KS 67022 Phone: 620-845-2516 Fax: 620-845-2518 |