Leslie A Nichols, PA is a medicare enrolled "Physician Assistant - Surgical" in Woodhaven, Michigan. She went to University Of Kentucky College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sami Abbasi Do Pllc and her current practice location is
21401 Allen Rd, Woodhaven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 675-0835.
Leslie A Nichols is licensed to practice in Michigan (license number 5601006720) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568411841.
Provider's Profile
| Full Name | Leslie A Nichols |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 21401 Allen Rd, Woodhaven, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leslie A Nichols attended and graduated from University Of Kentucky College Of Medicine in 2001
NPI Data:
- NPI Number: 1568411841
- Provider Enumeration Date: 05/06/2006
- Last Update Date: 08/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981685856
- Enrollment ID: I20140819001267
Medical Identifiers
Medical identifiers for Leslie A Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568411841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | PA653 (Kentucky) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5601006720 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sami Abbasi Do Pllc | 4688869712 | 5 |
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. Leslie A 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 |
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Leslie A Nichols, PA
336 29th St,
Ashland, KY 41101-1900
Ph: (606) 324-4404 | Leslie A Nichols, PA
21401 Allen Rd,
Woodhaven, MI 48183-1665
Ph: (734) 675-0835 |
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