| Timothy Laine Nicol, PA-C | |
|
3050 E River Bluff Blvd, Ozark, MO 65721-8807 | |
| (417) 885-3000 | |
| Not Available |
| Full Name | Timothy Laine Nicol |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 3050 E River Bluff Blvd, Ozark, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881407914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2025004726 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Springfield Communities | 7416865845 | 1121 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Laine Nicol, PA-C 425 E Harrison St, Republic, MO 65738-1350 Ph: (563) 213-4684 | Timothy Laine Nicol, PA-C 3050 E River Bluff Blvd, Ozark, MO 65721-8807 Ph: (417) 885-3000 |
Lindsey Frerichs, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3050 E River Bluff Blvd, Ozark, MO 65721 Phone: 417-820-7969 |
Taylor Nicole Kensinger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3050 E River Bluff Blvd, Ozark, MO 65721 Phone: 417-885-3000 |
Hailey Wood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5100 N Towne Centre Dr, Ozark, MO 65721 Phone: 417-730-5510 |
Jacob Andrew Walters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3050 E River Bluff Blvd, Ozark, MO 65721 Phone: 417-885-3000 Fax: 717-737-7197 |
Mrs. Sarah B Fast, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5100 N Towne Centre Dr, Ozark, MO 65721 Phone: 417-269-2215 Fax: 417-269-2427 |
Nathan A Miracle, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3050 E River Bluff Blvd, Ozark, MO 65721 Phone: 417-820-5610 |
Daniel Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3050 E River Bluff Blvd, Ozark, MO 65721 Phone: 417-820-5610 |