Dr Anna Jeannine Nichols, MD, PHD is a medicare enrolled "Dermatology" physician in Plattsburgh, New York. She went to State University Of Ny Upstate Medical University and graduated in 2012 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Green Mountain Dermatology Pllc, Green Mountain Dermatology Pllc and her current practice location is
2 Healey Ave, Plattsburgh, New York. You can reach out to her office (for appointments etc.) via phone at
(802) 864-0192.
Dr Anna Jeannine Nichols is licensed to practice in Florida (license number ME127353) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518227594.
Physician's Profile
| Full Name | Dr Anna Jeannine Nichols |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 14 Years |
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| Location | 2 Healey Ave, Plattsburgh, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Anna Jeannine Nichols attended and graduated from State University Of Ny Upstate Medical University in 2012
NPI Data:
- NPI Number: 1518227594
- Provider Enumeration Date: 05/23/2012
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547557910
- Enrollment ID: I20240613001065
Medical Identifiers
Medical identifiers for Dr Anna Jeannine Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518227594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 283246 (New York) | Secondary |
| 207N00000X | Dermatology | ME127353 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Green Mountain Dermatology Pllc | 4688011992 | 14 |
| Green Mountain Dermatology Pllc | 4688011992 | 14 |
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 Anna Jeannine Nichols allows following entities to bill medicare on her behalf.
| Entity Name | Four Seasons Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790737393
PECOS PAC ID: 8820062946
Enrollment ID: O20200122002223 |
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| Entity Name | Green Mountain Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093577827
PECOS PAC ID: 4688011992
Enrollment ID: O20241008002263 |
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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 Anna Jeannine Nichols 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 |
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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 |
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