| Robert Nichols, | |
|
3525 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-8839 | |
| Not Available |
| Full Name | Robert Nichols |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 3525 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366862716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A-2077-17 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Santa Fe Medical Center | Santa fe, NM | Hospital |
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of New Mexico - Clovis Llc | 0345618849 | 29 |
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Hospitalist Medicine Physicians Of New Mexico - Clovis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477031094 PECOS PAC ID: 0345618849 Enrollment ID: O20221114002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Nichols, 2024 S Baldwin Unit 165, Mesa, AZ 85209-1712 Ph: (480) 206-7914 | Robert Nichols, 3525 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-8839 |
Matthew P Kiefaber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Mitchell Spencer Garey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Sarah Valentine, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 | |
Dr. Stacey Lynn Poznanski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3525 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8839 | |
Aditya Arora, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-436-4658 | |
Dr. Michael Edward Dowler, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Emergency Department, Kettering, OH 45429 Phone: 937-395-8166 | |
Dr. Zena Jalloh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 800-875-0136 |