Kelly M Nichols, MD in Portland, ME - Medicare Obstetrics/gynecology

Kelly M Nichols, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Maine. She went to Tulane University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Mt Auburn Professional Services, Maine Medical Partners, Mainehealth and her current practice location is 887 Congress St Ste 200, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 771-5549.

Kelly M Nichols is licensed to practice in Maine (license number MD27355) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629462627.

Contact Information

	Kelly M Nichols, MD
	887 Congress St Ste 200, Portland, ME 04102-3166
	(207) 771-5549
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly M Nichols
Gender	Female
Speciality	Obstetrics/gynecology
Experience	9 Years
Location	887 Congress St Ste 200, Portland, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly M Nichols attended and graduated from Tulane University School Of Medicine in 2015

NPI Data:

NPI Number: 1629462627
Provider Enumeration Date: 03/27/2015
Last Update Date: 10/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4385957976
Enrollment ID: I20210730000006

Medical Identifiers

Medical identifiers for Kelly M Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629462627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	279258 (Massachusetts)	Secondary
207V00000X	Obstetrics & Gynecology	MD27355 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maine Medical Center	Portland, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mt Auburn Professional Services	6103725031	256
Maine Medical Partners	9335043967	789
Mainehealth	7517860588	2067

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. Kelly M Nichols allows following entities to bill medicare on her behalf.

Entity Name	Mt Auburn Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374

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. Kelly M 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
Kelly M Nichols, MD 887 Congress St Ste 200, Portland, ME 04102-3166 Ph: (207) 771-5549	Kelly M Nichols, MD 887 Congress St Ste 200, Portland, ME 04102-3166 Ph: (207) 771-5549

Reviews and Comments

Obstetrics & Gynecology Doctors in Portland, ME

Carol M Vaughan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 84 Marginal Way, Suite 900, Portland, ME 04101 Phone: 207-874-2445 Fax: 207-523-8598
Toby M Fitzgerald, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 200, Portland, ME 04102 Phone: 207-771-5549 Fax: 207-771-7834
Dr. Edward Bumno Yoon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 895 Washington Ave, Portland, ME 04103 Phone: 207-791-3888
Dr. Kathryn G Wadland, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 195 Fore River Pkwy, Suite 440, Portland, ME 04102 Phone: 207-553-6920 Fax: 207-553-6940
Anne Marie Van Hengel, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 84 Marginal Way, Suite 900, Portland, ME 04101 Phone: 207-874-2445 Fax: 207-523-8598
Dr. Debra K Sepulveda, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 Fax: 207-662-6219
Mary Anne Carroll, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-0111

Kelly M Nichols, MD - Medicare Obstetrics/gynecology in Portland, ME