Dr Theodore William Nicholas, MD in Kill Devil Hills, NC

Dr Theodore William Nicholas, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Kill Devil Hills, North Carolina. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Pain Management. His current practice location is 3210 N. Croatan Hwy., Suite 3, Kill Devil Hills, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 261-5868.

Dr Theodore William Nicholas is licensed to practice in North Carolina (license number 2002-00059) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427075506.

Contact Information

	Dr Theodore William Nicholas, MD
	3210 N. Croatan Hwy., Suite 3, Kill Devil Hills, NC 27948
	(252) 261-5868
	(252) 441-7793

Map and Direction

Physician's Profile

Full Name	Dr Theodore William Nicholas
Gender	Male
Speciality	Pain Management
Experience	27 Years
Location	3210 N. Croatan Hwy., Kill Devil Hills, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Theodore William Nicholas graduated from medical school in 1997

NPI Data:

NPI Number: 1427075506
Provider Enumeration Date: 07/16/2006
Last Update Date: 07/09/2010

Medicare PECOS Information:

PECOS PAC ID: 3173525938
Enrollment ID: I20120207000095

Medical Identifiers

Medical identifiers for Dr Theodore William Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427075506	NPI	-	NPPES
B8563	Other	NC	MEDCOST PROVIDER NUMBER
131G4	Other	NC	BC/BS NC PROVIDER NUMBER
89131G4	Medicaid	NC
299811	Other	NC	UNITED PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	2002-00059 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Outer Banks Hospital, Inc	Nags head, NC	Hospital

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 Theodore William Nicholas allows following entities to bill medicare on his behalf.

Entity Name	Atlantic Pain Management & Rehabilitation P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568529303 PECOS PAC ID: 4183626948 Enrollment ID: O20070207000170

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 Theodore William Nicholas 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 Theodore William Nicholas, MD 3210 N. Croatan Hwy., Suite 3, Kill Devil Hills, NC 27948 Ph: (252) 261-5868	Dr Theodore William Nicholas, MD 3210 N. Croatan Hwy., Suite 3, Kill Devil Hills, NC 27948 Ph: (252) 261-5868

Dr Theodore William Nicholas, MD - Medicare Pain Management in Kill Devil Hills, NC