Mr William Charles Nichols, PSYD in Harrison, AR - Medicare Psychologist Provider

Mr William Charles Nichols, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Harrison, Arkansas. His current practice location is 623 N Walnut St, Harrison, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 743-6225.

Mr William Charles Nichols is licensed to practice in Arkansas (license number 00-12P) 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 1215994876.

Contact Information

	Mr William Charles Nichols, PSYD
	623 N Walnut St, Harrison, AR 72601-3617
	(870) 743-6225
	(870) 743-6006

Map and Direction

Healthcare Provider's Profile

Full Name	Mr William Charles Nichols
Gender	Male
Speciality	Psychologist - Clinical
Location	623 N Walnut St, Harrison, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215994876
Provider Enumeration Date: 04/27/2006
Last Update Date: 01/03/2011

Medicare PECOS Information:

PECOS PAC ID: 2769640176
Enrollment ID: I20120308000762

Medical Identifiers

Medical identifiers for Mr William Charles Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215994876	NPI	-	NPPES
5W126	Other	AR	BC BS
5C757	Other	AR	BC B S GROUP
141383019	Medicaid	AR
148984744	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	00-12P (Arkansas)	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. Mr William Charles Nichols allows following entities to bill medicare on his behalf.

Entity Name	Family Psychological Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033293733 PECOS PAC ID: 6305005455 Enrollment ID: O20120308000308

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. Mr William Charles 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
Mr William Charles Nichols, PSYD 623 N Walnut St, Harrison, AR 72601-3617 Ph: (870) 743-6225	Mr William Charles Nichols, PSYD 623 N Walnut St, Harrison, AR 72601-3617 Ph: (870) 743-6225

Reviews and Comments

Psychologist in Harrison, AR

Dr. Stephen Robert Harris, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 715 W Sherman Ave, Ste F, Harrison, AR 72601 Phone: 870-577-2830 Fax: 870-741-3457
Alexa Dale Davis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 702 N Main St, Suite C, Harrison, AR 72601 Phone: 870-741-2658 Fax: 870-741-2722

Mr William Charles Nichols, PSYD - Medicare Psychologist in Harrison, AR