| Dr Anna Jeannine Nichols, MD, PHD | |
|
2 Healey Ave, Plattsburgh, NY 12901-2413 | |
| (802) 864-0192 | |
| (802) 860-4919 |
| Full Name | Dr Anna Jeannine Nichols |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 13 Years |
| Location | 2 Healey Ave, Plattsburgh, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518227594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 283246 (New York) | Secondary |
| 207N00000X | Dermatology | ME127353 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Univ. Of Vermont - Fletcher Allen Health Care | Burlington, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Mountain Dermatology Pllc | 4688011992 | 14 |
| Green Mountain Dermatology Pllc | 4688011992 | 14 |
| Entity Name | Four Seasons Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790737393 PECOS PAC ID: 8820062946 Enrollment ID: O20200122002223 |
| Entity Name | Green Mountain Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093577827 PECOS PAC ID: 4688011992 Enrollment ID: O20241008002263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anna Jeannine Nichols, MD, PHD 354 Mountain View Dr Ste 300, Colchester, VT 05446-5988 Ph: (802) 864-0192 | Dr Anna Jeannine Nichols, MD, PHD 2 Healey Ave, Plattsburgh, NY 12901-2413 Ph: (802) 864-0192 |
Dr. Mark Mckinley Ash, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Healey Ave, Plattsburgh, NY 12901 Phone: 561-247-4959 | |
Mr. Casey J Barcomb, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 |