| Timothy P Nichols, MD | |
|
615 N Bonita Ave, Panama City, FL 32401-3623 | |
| (888) 313-5258 | |
| (205) 313-5298 |
| Full Name | Timothy P Nichols |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 28 Years |
| Location | 615 N Bonita Ave, Panama City, Florida |
| 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 |
|---|---|---|---|
| 1720080229 | NPI | - | NPPES |
| 255405400 | Medicaid | FL | |
| 42672 | Other | FL | BCBSF GRP # 98513 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 72507 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emerald Coast Urgent Care Llc | 8224125869 | 12 |
| Entity Name | Emerald Coast Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396865556 PECOS PAC ID: 8224125869 Enrollment ID: O20071030000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy P Nichols, MD 2762 Continental Dr, Ste 201, Baton Rouge, LA 70808-3240 Ph: (888) 313-5258 | Timothy P Nichols, MD 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (888) 313-5258 |
Dr. Justin Strittmatter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Emergency Department, Panama City, FL 32401 Phone: 850-747-6000 Fax: 850-747-6323 | |
Dr. Michael A Samuels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 850-769-1511 | |
Steven Mark Weeks, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 449 W 23rd St, Panama City, FL 32405 Phone: 850-747-7900 | |
Huan Vu, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 888-313-5258 Fax: 205-313-5299 | |
Ata Ulhaq, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Forest Park Cir, Panama City, FL 32405 Phone: 850-248-7777 Fax: 850-248-7779 | |
Miss Brandy Nicole Milstead, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 850-747-6000 | |
Dr. Samantha Sue Sellers, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 449 W 23rd St, Panama City, FL 32405 Phone: 850-769-8341 |