Jesse Nichols, DO is a medicare enrolled "Emergency Medicine" physician in Joint Base Langley-eustis, Virginia. His current practice location is
633d Medical Group/sghc, 77 Nealy Ave, Joint Base Langley-eustis, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 764-6800.
Jesse Nichols is licensed to practice in Ohio (license number 34.012968) 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 1891188892.
Physician's Profile
| Full Name | Jesse Nichols |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 633d Medical Group/sghc, Joint Base Langley-eustis, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jesse Nichols attended and graduated from in
NPI Data:
- NPI Number: 1891188892
- Provider Enumeration Date: 03/15/2015
- Last Update Date: 07/18/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jesse Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891188892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 0102205683 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 34.012968 (Ohio) | 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. Jesse 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 |
|---|
Jesse Nichols, DO
112 Low St,
Butte, MT 59701-7633
Ph: () - | Jesse Nichols, DO
633d Medical Group/sghc, 77 Nealy Ave,
Joint Base Langley-eustis, VA 23665-2040
Ph: (757) 764-6800 |
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