Dr Russell Arthur Nickels, MD is a medicare enrolled "General Practice" physician in Smith River, California. His current practice location is
415 Highland Ave., Smith River, California. You can reach out to his office (for appointments etc.) via phone at
(707) 487-2211.
Dr Russell Arthur Nickels is licensed to practice in California (license number 00C306750) 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 1598977597.
Physician's Profile
Full Name | Dr Russell Arthur Nickels |
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Gender | Male |
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Speciality | General Practice |
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Location | 415 Highland Ave., Smith River, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598977597
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 05/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507189289
- Enrollment ID: I20150105001352
Medical Identifiers
Medical identifiers for Dr Russell Arthur Nickels such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598977597 | NPI | - | NPPES |
00C306750 | Other | CA | MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 00C306750 (California) | Primary |
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 Russell Arthur Nickels 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 Russell Arthur Nickels, MD 415 Highland Ave., Smith River, CA 95567 Ph: (707) 487-2211 | Dr Russell Arthur Nickels, MD 415 Highland Ave., Smith River, CA 95567 Ph: (707) 487-2211 |
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