Gary Glenn Nichols, PA - Medicare Physician Assistant in North Wilkesboro, NC

Gary Glenn Nichols, PA is a medicare enrolled "Physician Assistant - Medical" in North Wilkesboro, North Carolina. He graduated from nursing school in 1977 and has 47 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 1404 Willow Ln, North Wilkesboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 667-0335.

Gary Glenn Nichols is licensed to practice in North Carolina (license number 100253) 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 1316936156.

Contact Information

Gary Glenn Nichols, PA
1404 Willow Ln,
North Wilkesboro, NC 28659-3584
(336) 667-0335
(336) 667-4434

Map and Direction




Provider's Profile

Full NameGary Glenn Nichols
GenderMale
SpecialityPhysician Assistant
Experience47 Years
Location1404 Willow Ln, North Wilkesboro, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary Glenn Nichols graduated from nursing school in 1977
  NPI Data:
  • NPI Number: 1316936156
  • Provider Enumeration Date: 10/14/2005
  • Last Update Date: 08/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1456416171
  • Enrollment ID: I20090212000601

Medical Identifiers

Medical identifiers for Gary Glenn Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316936156NPI-NPPES
2750028COtherNCMEDICARE PTAN, INDIVIDUAL
5905127MedicaidNE
203994FOtherNCMEDICARE GROUP
2335816OtherNCMEDICARE PTAN, GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 100253 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649521987

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. Gary Glenn 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 AddressPractice Location Address
Gary Glenn Nichols, PA
Po Box 602658,
Charlotte, NC 28260-2658

Ph: (336) 716-2011
Gary Glenn Nichols, PA
1404 Willow Ln,
North Wilkesboro, NC 28659-3584

Ph: (336) 667-0335

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.