Mr Chong H Nicholls, MD in Indianapolis, IN

Mr Chong H Nicholls, MD is a medicare enrolled "Anesthesiology" physician in Indianapolis, Indiana. His current practice location is 8075 N Shadeland Ave Ste 200, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-8500.

Mr Chong H Nicholls is licensed to practice in Indiana (license number 01073755A) 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 1902850068.

Contact Information

	Mr Chong H Nicholls, MD
	8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2694
	(317) 621-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Chong H Nicholls
Gender	Male
Speciality	Anesthesiology
Location	8075 N Shadeland Ave Ste 200, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902850068
Provider Enumeration Date: 05/20/2006
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3971409673
Enrollment ID: I20040927001024

Medical Identifiers

Medical identifiers for Mr Chong H Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902850068	NPI	-	NPPES
01370816	Medicaid	CA
188700001	Medicaid	AR
201216590	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	37081 (Colorado)	Secondary
207L00000X	Anesthesiology	35.129284 (Ohio)	Secondary
207L00000X	Anesthesiology	A80622 (California)	Secondary
207L00000X	Anesthesiology	01073755A (Indiana)	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. Mr Chong H Nicholls allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Services Of San Joaquin Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174

Entity Name	Cep America - Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110

Entity Name	Oak Creek Anesthesia Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619589512 PECOS PAC ID: 9739509407 Enrollment ID: O20201019001247

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. Mr Chong H Nicholls 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
Mr Chong H Nicholls, MD Po Box 2336, Mountain Home, AR 72654-2336 Ph: (870) 424-7070	Mr Chong H Nicholls, MD 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2694 Ph: (317) 621-8500

Reviews and Comments

Anesthesiology Doctors in Indianapolis, IN

Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503
Jennifer Marie Labrie-deem, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-6262
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191
Christian N Beaton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191

Mr Chong H Nicholls, MD - Medicare Anesthesiology in Indianapolis, IN