Richard Evan Nichols, MD in Chicago, IL - Medicare Diagnostic Radiology

Richard Evan Nichols, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chicago, Illinois. He went to Indiana University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Fort Wayne Radiology Associates Llc, Fort Wayne Radiology Associates Llc, Community Hospitals And Wellness Centers and his current practice location is 1501 S California Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 257-6498.

Richard Evan Nichols is licensed to practice in Illinois (license number 036-121270) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780849562.

Contact Information

	Richard Evan Nichols, MD
	1501 S California Ave, Chicago, IL 60608-1732
	(773) 257-6498
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Evan Nichols
Gender	Male
Speciality	Diagnostic Radiology
Experience	20 Years
Location	1501 S California Ave, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Richard Evan Nichols attended and graduated from Indiana University School Of Medicine in 2005

NPI Data:

NPI Number: 1780849562
Provider Enumeration Date: 07/22/2008
Last Update Date: 11/29/2016

Medicare PECOS Information:

PECOS PAC ID: 1658566443
Enrollment ID: I20110805000116

Medical Identifiers

Medical identifiers for Richard Evan Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780849562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	036-121270 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Parkview Whitley Hospital	Columbia city, IN	Hospital
Parkview Wabash Hospital, Inc	Wabash, IN	Hospital
Orthopaedic Hospital At Parkview North Llc	Fort wayne, IN	Hospital
Parkview Noble Hospital	Kendallville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Wayne Radiology Associates Llc	5294624060	33
Fort Wayne Radiology Associates Llc	5294624060	33
Community Hospitals And Wellness Centers	7517878093	28

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. Richard Evan Nichols allows following entities to bill medicare on his behalf.

Entity Name	Fort Wayne Radiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063475861 PECOS PAC ID: 5294624060 Enrollment ID: O20040329000698

Entity Name	Breast Diagnostic Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790748499 PECOS PAC ID: 9335189513 Enrollment ID: O20050506000308

Entity Name	P.e.t. Imaging Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992768691 PECOS PAC ID: 2668412842 Enrollment ID: O20050506000346

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. Richard Evan 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
Richard Evan Nichols, MD 3707 New Vision Dr, Fort Wayne, IN 46845-1702 Ph: (708) 786-2900	Richard Evan Nichols, MD 1501 S California Ave, Chicago, IL 60608-1732 Ph: (773) 257-6498

Reviews and Comments

Radiology Doctors in Chicago, IL

Dr. Don Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-926-8318
Lauren Elizabeth Arsenault, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230
Dr. Amar Pravin Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 461, Chicago, IL 60612 Phone: 312-942-5781
Dr. Naveen Prabhakar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-7820 Fax: 773-296-7821

Richard Evan Nichols, MD - Medicare Diagnostic Radiology in Chicago, IL