Keith Cameron Nichols, MD - Medicare Emergency Medicine in Suffolk, VA

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Keith Cameron Nichols, MD is a medicare enrolled "Specialist" physician in Suffolk, Virginia. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Center For Vein Restoration Md Llc and his current practice location is 1500 Breezeport Way, Suite 100, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 686-9747.

Keith Cameron Nichols is licensed to practice in Virginia (license number 01010406236) 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 1538194766.

Contact Information

Keith Cameron Nichols, MD
1500 Breezeport Way, Suite 100,
Suffolk, VA 23435-3727
(757) 686-9747
(757) 686-9748

Map and Direction




Physician's Profile

Full NameKeith Cameron Nichols
GenderMale
SpecialityEmergency Medicine
Experience42 Years
Location1500 Breezeport Way, Suffolk, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Cameron Nichols attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1538194766
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 02/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3173421120
  • Enrollment ID: I20040824000111

Medical Identifiers

Medical identifiers for Keith Cameron Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538194766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery ME178296 (Florida)Secondary
174400000XSpecialist 01010406236 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Center For Vein Restoration Md Llc872902273629

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. Keith Cameron Nichols allows following entities to bill medicare on his behalf.
Entity NameCenter For Vein Restoration Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487772349
PECOS PAC ID: 8729022736
Enrollment ID: O20120312000303
Entity NameCenter For Vascular Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386935781
PECOS PAC ID: 1658319967
Enrollment ID: O20190619002754

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. Keith Cameron 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 AddressPractice Location Address
Keith Cameron Nichols, MD
397 Churchill Hubbard Rd,
Youngstown, OH 44505-1375

Ph: (330) 759-6750		Keith Cameron Nichols, MD
1500 Breezeport Way, Suite 100,
Suffolk, VA 23435-3727

Ph: (757) 686-9747

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.