Mrs Amy Nicole Nichols, MS, FNP-BC in Beverly Hills, CA

Mrs Amy Nicole Nichols, MS, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Beverly Hills, California. Her current practice location is 9675 Brighton Way Suite 100, Beverly Hills, California. You can reach out to her office (for appointments etc.) via phone at (310) 205-7310.

Mrs Amy Nicole Nichols is licensed to practice in California (license number 95005333) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942742804.

Contact Information

	Mrs Amy Nicole Nichols, MS, FNP-BC
	9675 Brighton Way Suite 100, Beverly Hills, CA 90210-2171
	(310) 205-7310
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amy Nicole Nichols
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9675 Brighton Way Suite 100, Beverly Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942742804
Provider Enumeration Date: 11/09/2016
Last Update Date: 09/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3779869128
Enrollment ID: I20170419001201

Medical Identifiers

Medical identifiers for Mrs Amy Nicole Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942742804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005333 (California)	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. Mrs Amy Nicole Nichols allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Mrs Amy Nicole 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
Mrs Amy Nicole Nichols, MS, FNP-BC 5767 W Century Blvd Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Mrs Amy Nicole Nichols, MS, FNP-BC 9675 Brighton Way Suite 100, Beverly Hills, CA 90210-2171 Ph: (310) 205-7310

Reviews and Comments

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Mrs Amy Nicole Nichols, MS, FNP-BC - Medicare Nurse Practitioner in Beverly Hills, CA