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

Dr Alphonso Nichols Iii, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in San Diego, California. His current practice location is 10672 Wexford St Ste 280, 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 Kentucky (license number 39438) 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
10672 Wexford St Ste 280,
San Diego, CA 92131-3973
(858) 412-7362
(858) 368-9797

Map and Direction




Physician's Profile

Full NameDr Alphonso Nichols Iii
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location10672 Wexford St Ste 280, San Diego, California
Accepts Medicare AssignmentsMedicare 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: 08/01/2022
  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.
IdentifierTypeStateIssuer
1003890666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry C177109 (California)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 39438 (Kentucky)Primary
2084P0800XPsychiatry & Neurology - Psychiatry C177109 (California)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 01061506A (Indiana)Secondary

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 NameAkane Institute Of Allergy Asthma & Sleep Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
10672 Wexford St Ste 280,
San Diego, CA 92131-3973

Ph: (858) 412-7362

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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