Dr Alphonso Nichols Iii, MD in San Diego, CA - Medicare Psychiatry & Neurology

Dr Alphonso Nichols Iii, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Diego, California. His current practice location is 9750 Miramar Rd Ste 200, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 412-7362.

Dr Alphonso Nichols Iii is licensed to practice in California (license number C177109) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003890666.

Contact Information

	Dr Alphonso Nichols Iii, MD
	9750 Miramar Rd Ste 200, San Diego, CA 92126-4562
	(858) 412-7362
	(858) 368-9797

Map and Direction

Physician's Profile

Full Name	Dr Alphonso Nichols Iii
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	9750 Miramar Rd Ste 200, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003890666
Provider Enumeration Date: 12/06/2005
Last Update Date: 03/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3779651450
Enrollment ID: I20220714001011

Medical Identifiers

Medical identifiers for Dr Alphonso Nichols Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003890666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	C177109 (California)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	39438 (Kentucky)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	01061506A (Indiana)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	C177109 (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. Dr Alphonso Nichols Iii allows following entities to bill medicare on his behalf.

Entity Name	Akane Institute Of Allergy Asthma & Sleep Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093015828 PECOS PAC ID: 7810170446 Enrollment ID: O20110321000035

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. Dr Alphonso Nichols Iii 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
Dr Alphonso Nichols Iii, MD 10755 Scripps Poway Pkwy # 455, San Diego, CA 92131-3924 Ph: (858) 412-7362	Dr Alphonso Nichols Iii, MD 9750 Miramar Rd Ste 200, San Diego, CA 92126-4562 Ph: (858) 412-7362

Reviews and Comments

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Dr Alphonso Nichols Iii, MD - Medicare Psychiatry & Neurology in San Diego, CA