Mrs Mallory Brooke Nichols, FNP-C, CRNP in Tuscaloosa, AL

Mrs Mallory Brooke Nichols, FNP-C, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Tuscaloosa, Alabama. Her current practice location is 809 University Blvd E, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 759-7111.

Mrs Mallory Brooke Nichols is licensed to practice in Alabama (license number 1-144817) 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 1932859774.

Contact Information

	Mrs Mallory Brooke Nichols, FNP-C, CRNP
	809 University Blvd E, Tuscaloosa, AL 35401-2071
	(205) 759-7111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Brooke Nichols
Gender	Female
Speciality	Nurse Practitioner - Family
Location	809 University Blvd E, Tuscaloosa, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932859774
Provider Enumeration Date: 03/25/2022
Last Update Date: 03/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9032593538
Enrollment ID: I20220901001427

Medical Identifiers

Medical identifiers for Mrs Mallory Brooke Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932859774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-144817 (Alabama)	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 Mallory Brooke Nichols allows following entities to bill medicare on her behalf.

Entity Name	American Family Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157

Entity Name	Capstone Health Services Foundation Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740397751 PECOS PAC ID: 6103724489 Enrollment ID: O20040330001160

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 Mallory Brooke 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 Mallory Brooke Nichols, FNP-C, CRNP 676 Heiberger Loop, Marion, AL 36756-6525 Ph: (205) 394-9150	Mrs Mallory Brooke Nichols, FNP-C, CRNP 809 University Blvd E, Tuscaloosa, AL 35401-2071 Ph: (205) 759-7111

Reviews and Comments

Nurse Practitioner Nurses in Tuscaloosa, AL

Ms. Sarah Oliver Pate, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2731 Mlk Jr. Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993
Mrs. Haley Patrick Hill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Rice Mine Road, Suite B, Tuscaloosa, AL 35406 Phone: 205-349-4200
Doris D Patton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000
Casey Elizabeth Jones, RN, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1651 Ruby Tyler Pkwy, Tuscaloosa, AL 35404 Phone: 205-507-8930
Caleb Elmore, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 University Blvd E Ste 400, Tuscaloosa, AL 35401 Phone: 205-752-0694 Fax: 205-752-6244
Holly K. Freeman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Towncenter Blvd, Ste 300, Tuscaloosa, AL 35406 Phone: 205-710-3838 Fax: 205-710-3839
Alice Mae Cunningham, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 University Blvd, Bryce Hospital, Tuscaloosa, AL 35401 Phone: 205-759-0799 Fax: 205-759-0845

Mrs Mallory Brooke Nichols, FNP-C, CRNP - Medicare Nurse Practitioner in Tuscaloosa, AL