Mark O Nichols, MD is a medicare enrolled "Surgery" physician in Miles City, Montana. His current practice location is
2600 Wilson St, Miles City, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 233-2500.
Mark O Nichols is licensed to practice in Montana (license number 12569) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922196575.
Physician's Profile
| Full Name | Mark O Nichols |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 2600 Wilson St, Miles City, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922196575
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 02/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658350533
- Enrollment ID: I20051012001127
Medical Identifiers
Medical identifiers for Mark O Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922196575 | NPI | - | NPPES |
| 00A421210 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 12569 (Montana) | Primary |
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. Mark O Nichols allows following entities to bill medicare on his behalf.
| Entity Name | Dignity Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336588870 PECOS PAC ID: 2062320559 Enrollment ID: O20081223000427 |
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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. Mark O 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 |
Mark O Nichols, MD 2600 Wilson St, Miles City, MT 59301-5094 Ph: (406) 233-2500 | Mark O Nichols, MD 2600 Wilson St, Miles City, MT 59301-5094 Ph: (406) 233-2500 |
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