Mr Robert E Nichols, MD in Crossville, TN - Medicare Internal Medicine

Mr Robert E Nichols, MD is a medicare enrolled "Internal Medicine" physician in Crossville, Tennessee. His current practice location is 100 Lantana Rd, Suite 202, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 484-5141.

Mr Robert E Nichols is licensed to practice in Tennessee (license number MD16372) 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 1154332591.

Contact Information

	Mr Robert E Nichols, MD
	100 Lantana Rd, Suite 202, Crossville, TN 38555-1903
	(931) 484-5141
	(931) 484-5620

Map and Direction

Physician's Profile

Full Name	Mr Robert E Nichols
Gender	Male
Speciality	Internal Medicine
Location	100 Lantana Rd, Crossville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154332591
Provider Enumeration Date: 08/10/2006
Last Update Date: 12/08/2009

Medicare PECOS Information:

PECOS PAC ID: 3577659176
Enrollment ID: I20091201000004

Medical Identifiers

Medical identifiers for Mr Robert E Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154332591	NPI	-	NPPES
110029476	Other		RAILROAD MEDICARE
3025514	Medicaid	TN
78361	Other	TN	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD16372 (Tennessee)	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 Robert E Nichols allows following entities to bill medicare on his behalf.

Entity Name	Covenant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030

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 Robert E 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
Mr Robert E Nichols, MD 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 Ph: (931) 484-5141	Mr Robert E Nichols, MD 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 Ph: (931) 484-5141

Reviews and Comments

Internal Medicine Doctors in Crossville, TN

Dr. Tamara Jean Collins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620
Dr. Kimberly S Peaslee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515
Mehran Monazam Tavallaee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061
Dr. Thomas E Clayton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515
Dr. Mary M Headrick, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620
Dr. Kristine Louise Soly, MD, FACC Internal Medicine Medicare: Medicare Enrolled Practice Location: 917 Hillcrest Dr, Crossville, TN 38555 Phone: 931-456-5900 Fax: 931-456-5916

Mr Robert E Nichols, MD - Medicare Internal Medicine in Crossville, TN