Jeffrey R Nichols, DO in Janesville, WI - Medicare Emergency Medicine

Jeffrey R Nichols, DO is a medicare enrolled "Emergency Medicine" physician in Janesville, Wisconsin. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mercy Health System Corporation and his current practice location is 1000 Mineral Point Ave, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 756-6611.

Jeffrey R Nichols is licensed to practice in Wisconsin (license number 69172-21) 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 1316334683.

Contact Information

	Jeffrey R Nichols, DO
	1000 Mineral Point Ave, Janesville, WI 53548
	(608) 756-6611
	(608) 756-6177

Map and Direction

Physician's Profile

Full Name	Jeffrey R Nichols
Gender	Male
Speciality	Emergency Medicine
Experience	9 Years
Location	1000 Mineral Point Ave, Janesville, Wisconsin
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:

Jeffrey R Nichols attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2015

NPI Data:

NPI Number: 1316334683
Provider Enumeration Date: 04/23/2015
Last Update Date: 09/12/2018

Medicare PECOS Information:

PECOS PAC ID: 4385958065
Enrollment ID: I20180822001980

Medical Identifiers

Medical identifiers for Jeffrey R Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316334683	NPI	-	NPPES
1316334683	Medicaid	WI
1316334683	Other	WI	BCBSWI
4919	Other	WI	MERCYCARE INSURANCE
K400494086	Other	WI	WI MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036-144477 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	69172-21 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health System Corp	Janesville, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health System Corporation	7416860440	459

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. Jeffrey R Nichols allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Jeffrey R 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
Jeffrey R Nichols, DO 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6611	Jeffrey R Nichols, DO 1000 Mineral Point Ave, Janesville, WI 53548 Ph: (608) 756-6611

Reviews and Comments

Emergency Medicine Doctors in Janesville, WI

Michael J. Hartmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6111 Fax: 608-756-6177
Dr. Michael V Coogan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000
Sean William Marquis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177
Dr. Karl A Nibbelink, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611
Christopher M. Koenig, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177
Dr. Martin Fedko, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177
Stephen L Merrill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-756-4700

Jeffrey R Nichols, DO - Medicare Emergency Medicine in Janesville, WI