Ms Stephanie Elizabeth Nicholls, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Kettering, Ohio. Her current practice location is
3535 Southern Blvd, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 395-6665.
Ms Stephanie Elizabeth Nicholls is licensed to practice in Ohio (license number 50.006553RX) 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 1104437425.
Physician's Profile
| Full Name | Ms Stephanie Elizabeth Nicholls |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3535 Southern Blvd, Kettering, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Stephanie Elizabeth Nicholls attended and graduated from in
NPI Data:
- NPI Number: 1104437425
- Provider Enumeration Date: 08/11/2020
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Stephanie Elizabeth Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104437425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 50.006553RX (Ohio) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 50.006553RX (Ohio) | Primary |
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. Ms Stephanie Elizabeth 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 |
|---|
Ms Stephanie Elizabeth Nicholls, PA-C
1573 Beaver Ridge Dr,
Kettering, OH 45429-4005
Ph: (937) 903-3471 | Ms Stephanie Elizabeth Nicholls, PA-C
3535 Southern Blvd,
Kettering, OH 45429-1221
Ph: (937) 395-6665 |
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