Rory Anthony Nichols, PA-C in Travis Afb, CA - Medicare Physician Assistant

Rory Anthony Nichols, PA-C is a medicare enrolled "Physician Assistant" in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3580.

Rory Anthony Nichols is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760981047.

Contact Information

	Rory Anthony Nichols, PA-C
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-3580
	Not Available

Map and Direction

Provider's Profile

Full Name	Rory Anthony Nichols
Gender	Male
Speciality	Physician Assistant
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760981047
Provider Enumeration Date: 02/01/2018
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9335575349
Enrollment ID: I20221123000583

Medical Identifiers

Medical identifiers for Rory Anthony Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760981047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Rory Anthony 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
Rory Anthony Nichols, PA-C 1525 W Winton Ave Bldg 9, Hayward, CA 94545-1310 Ph: (510) 750-3157	Rory Anthony Nichols, PA-C 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-3580

Reviews and Comments

Physician Assistant Nurses in Travis Afb, CA

Deanna Le, Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/omrs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-413-7295
Susana Quezada Awad, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/hcos, 101 Bodic Cir, Travis Afb, CA 94535 Phone: 707-423-3964
Heidi Lynn Shelstad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825
Mr. Christopher Wayne Morales-phan, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sggpc, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 916-561-7793
Austin Ryder Podratz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000
Kamille Resetz, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 531 Waldron St Ste D, Travis Afb, CA 94535 Phone: 707-424-3812
Shawn M Hannah, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3216

Rory Anthony Nichols, PA-C - Medicare Physician Assistant in Travis Afb, CA