| David Nichols, MD | |
|
2018 Pulliam St, San Angelo, TX 76905 | |
| (325) 659-7290 | |
| (325) 659-7291 |
| Full Name | David Nichols |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 2018 Pulliam St, San Angelo, Texas |
| 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 |
|---|---|---|---|
| 1003951245 | NPI | - | NPPES |
| N0321 | Other | TX | LICENSE |
| 203778902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | N0321 (Texas) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | N0321 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Home Health Services | San angelo, TX | Home health agency |
| Country Home Health | Mason, TX | Home health agency |
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| The West Texas Rehabilitation Center | 2860301215 | 376 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Timberland Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302 |
| Entity Name | Timothy P. Bumann D.o. P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326254160 PECOS PAC ID: 7517941685 Enrollment ID: O20040616000349 |
| Mailing Address | Practice Location Address |
|---|---|
| David Nichols, MD 730 East Eureka Street, Weatherford, TX 76086-6546 Ph: (817) 596-7000 | David Nichols, MD 2018 Pulliam St, San Angelo, TX 76905 Ph: (325) 659-7290 |
Dr. Yaseen Saleh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 | |
Dr. Lance Eliot Hafter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 Fax: 325-747-8435 | |
Michael Patrick Strayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Kinickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Marvin Walter Carroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Dr. Scott David Hodge, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Dr. Samuel Joseph Kasberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904 Phone: 325-947-6960 Fax: 325-947-6968 | |
Dr. James Gregory Vretis Ii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 |