| Whitney Wallace Nichols, DO | |
|
201 Albert Ave, Scott City, KS 67871 | |
| (620) 872-2187 | |
| (620) 872-7193 |
| Full Name | Whitney Wallace Nichols |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 201 Albert Ave, Scott City, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013321728 | NPI | - | NPPES |
| 201171720A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9408294 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 05-38325 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Wichita Family Physicians, P.a. | 5799745717 | 38 |
| Entity Name | Scott County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437187895 PECOS PAC ID: 5991773103 Enrollment ID: O20040923001249 |
| Entity Name | West Wichita Family Physicians, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043228984 PECOS PAC ID: 5799745717 Enrollment ID: O20041014000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Wallace Nichols, DO 201 Albert Ave, Scott City, KS 67871 Ph: (620) 872-2187 | Whitney Wallace Nichols, DO 201 Albert Ave, Scott City, KS 67871 Ph: (620) 872-2187 |
Brett Hoffecker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Albert Ave, Scott City, KS 67871 Phone: 620-872-2187 Fax: 620-872-7193 | |
Dr. Elizabeth Hineman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Albert Ave, Scott City, KS 67871 Phone: 620-872-2187 Fax: 620-872-7193 | |
Matthew Lightner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Albert Ave, Scott City Clinic, Scott City, KS 67871 Phone: 620-872-2187 Fax: 620-872-2830 | |
Christian E. Cupp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Albert Ave, Scott City, KS 67871 Phone: 620-872-2187 Fax: 620-872-7193 |