Dr Katrina Anne Nichols, OD is a medicare enrolled "Optometrist" provider in Douglas, Arizona. She went to Southern California College Of Optometry and graduated in 2004 and has 22 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Arizona Primary Eye Care Pc and her current practice location is
549 E 10th St, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 364-3892.
Dr Katrina Anne Nichols is licensed to practice in Arizona (license number 1370) 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 1093773285.
Healthcare Provider's Profile
| Full Name | Dr Katrina Anne Nichols |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 22 Years |
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| Location | 549 E 10th St, Douglas, Arizona |
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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:
- Dr Katrina Anne Nichols attended and graduated from Southern California College Of Optometry in 2004
NPI Data:
- NPI Number: 1093773285
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 09/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517935604
- Enrollment ID: I20040916001197
Medical Identifiers
Medical identifiers for Dr Katrina Anne Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093773285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1370 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Arizona Primary Eye Care Pc | 4082808340 | 6 |
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. Dr Katrina Anne Nichols allows following entities to bill medicare on her behalf.
| Provider Name | Arizona Primary Eye Care Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750692877
PECOS PAC ID: 4082808340
Enrollment ID: O20101030000254 |
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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. Dr Katrina Anne 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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Dr Katrina Anne Nichols, OD
14615 E Circle L Ranch Pl,
Vail, AZ 85641-8939
Ph: (520) 349-3296 | Dr Katrina Anne Nichols, OD
549 E 10th St,
Douglas, AZ 85607-2009
Ph: (520) 364-3892 |
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