Dr Kody A Nichols, MD - Medicare Pediatrics in Fayetteville, AR

Dr Kody A Nichols, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, Arkansas. His current practice location is 3380 N Futrall Dr Ste 1, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 442-7322.

Dr Kody A Nichols is licensed to practice in Arkansas (license number E-11455) 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 1255726097.

Contact Information

Dr Kody A Nichols, MD
3380 N Futrall Dr Ste 1,
Fayetteville, AR 72703-4815
(479) 442-7322
(479) 442-7379

Map and Direction




Physician's Profile

Full NameDr Kody A Nichols
GenderMale
SpecialityPediatrics
Location3380 N Futrall Dr Ste 1, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255726097
  • Provider Enumeration Date: 03/30/2015
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032425376
  • Enrollment ID: I20180725003281

Medical Identifiers

Medical identifiers for Dr Kody A Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255726097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics E-11455 (Arkansas)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 Kody A Nichols allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346230968
PECOS PAC ID: 4082528955
Enrollment ID: O20040115000431
Entity NameArkansas Childrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598773079
PECOS PAC ID: 2769477744
Enrollment ID: O20040419000796
Entity NameMedical Associates Of Northwest Arkansas, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801847827
PECOS PAC ID: 3678542073
Enrollment ID: O20041001000671
Entity NameMercy Clinic Fort Smith Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902073620
PECOS PAC ID: 3870668510
Enrollment ID: O20080814000789

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 Kody A 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 AddressPractice Location Address
Dr Kody A Nichols, MD
Po Box 1523,
Fayetteville, AR 72702-1523

Ph: (479) 571-6038
Dr Kody A Nichols, MD
3380 N Futrall Dr Ste 1,
Fayetteville, AR 72703-4815

Ph: (479) 442-7322

Reviews and Comments


Pediatrics Doctors in Fayetteville, AR

Laureen J. Benafield, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703
Phone: 479-442-7322    Fax: 479-442-7379
Virginia Lee Thomas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703
Phone: 479-442-7322    Fax: 479-442-7379
Sean M. Livingston, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703
Phone: 479-442-7322    Fax: 479-442-7379
Dr. Neil A Tracy, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3215 N. North Hill Road, Fayetteville, AR 72703
Phone: 479-463-7102    Fax: 479-463-7864
Meredith Anne Denton, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703
Phone: 479-442-7322    Fax: 479-442-7379
Charles S. Ball, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703
Phone: 479-442-7322    Fax: 479-442-7379
Matthew G Cheadle, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703
Phone: 479-463-1000    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.