| Melissa Renee Nickols, PA-C | |
|
7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 | |
| (410) 290-6677 | |
| Not Available |
| Full Name | Melissa Renee Nickols |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 7120 Minstrel Way Ste 100, Columbia, Maryland |
| 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 |
|---|---|---|---|
| 1396238499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0007235 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Health Care Services | 2466351093 | 1821 |
| Gastro Center Of Maryland Llc | 7517972037 | 23 |
| Gastro Center Of Maryland Llc | 7517972037 | 23 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
| Entity Name | Gastroenterology Associates of Northern Virginia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205884368 PECOS PAC ID: 1759371008 Enrollment ID: O20040517001478 |
| Entity Name | Gastro Center of Maryland LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164609111 PECOS PAC ID: 7517972037 Enrollment ID: O20200203002278 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Renee Nickols, PA-C 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 Ph: Not Available | Melissa Renee Nickols, PA-C 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 Ph: (410) 290-6677 |
Justin Richard Waite, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Cedar Ln, Columbia, MD 21044 Phone: 443-718-4067 |
Mrs. Toni Marie Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8000 Fax: 410-740-7511 |
Smital Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000 |
Melissa Tsang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9520 Berger Rd Ste 203, Columbia, MD 21046 Phone: 410-823-6408 |
Bradley Klement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Columbia, MD 21044 Phone: 410-955-5000 |
Zayda Villatoro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7226 Lee Deforest Dr Ste 206, Columbia, MD 21046 Phone: 410-656-2646 |
Mr. Dipal Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890 |