Nicholas Phillips, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Clarkston, Washington. His current practice location is
302 5th St Ste 3, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 769-2211.
Nicholas Phillips is licensed to practice in Utah (license number 10344697-1205) 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 1720406291.
Physician's Profile
| Full Name | Nicholas Phillips |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 302 5th St Ste 3, Clarkston, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720406291
- Provider Enumeration Date: 04/02/2014
- Last Update Date: 07/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092933408
- Enrollment ID: I20190523001461
Medical Identifiers
Medical identifiers for Nicholas Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720406291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10344697-1205 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 10344697-1205 (Utah) | 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. Nicholas Phillips allows following entities to bill medicare on his behalf.
| Entity Name | Tri-state Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598814352
PECOS PAC ID: 4082502422
Enrollment ID: O20040308001123 |
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| Entity Name | Tms Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255732632
PECOS PAC ID: 6002113057
Enrollment ID: O20190222002685 |
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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. Nicholas Phillips 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 |
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Nicholas Phillips, MD
1922 Powers Dr,
Lewiston, ID 83501-6043
Ph: (208) 305-0467 | Nicholas Phillips, MD
302 5th St Ste 3,
Clarkston, WA 99403-1803
Ph: (509) 769-2211 |
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