Dr Tyler Nickle, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Colorado Springs, Colorado. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Preventive Medicine. His current practice location is
2430 Research Pkwy Ste 205, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 445-6242.
Dr Tyler Nickle is licensed to practice in Colorado (license number DR.0074892) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1972097418.
Physician's Profile
| Full Name | Dr Tyler Nickle |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 7 Years |
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| Location | 2430 Research Pkwy Ste 205, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyler Nickle graduated from medical school in 2018
NPI Data:
- NPI Number: 1972097418
- Provider Enumeration Date: 06/19/2018
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345591038
- Enrollment ID: I20250602002332
Medical Identifiers
Medical identifiers for Dr Tyler Nickle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972097418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A19690 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | DR.0074892 (Colorado) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | DR.0074892 (Colorado) | Secondary |
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 Tyler Nickle allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Center For Pain And Wellness, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033918131
PECOS PAC ID: 6709305261
Enrollment ID: O20250528001591 |
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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 Tyler Nickle 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 Tyler Nickle, DO
2430 Research Pkwy Ste 205,
Colorado Springs, CO 80920-1093
Ph: (719) 445-6242 | Dr Tyler Nickle, DO
2430 Research Pkwy Ste 205,
Colorado Springs, CO 80920-1093
Ph: (719) 445-6242 |
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