Nanci Roth Nilles, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sullivan, Indiana. Her current practice location is
2134 Mary Sherman Dr, Sullivan, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 268-6376.
Nanci Roth Nilles is licensed to practice in Indiana (license number 20041814A) 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 1285629493.
Healthcare Provider's Profile
| Full Name | Nanci Roth Nilles |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2134 Mary Sherman Dr, Sullivan, Indiana |
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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. |
Medical Education and Training:
- Nanci Roth Nilles attended and graduated from in
NPI Data:
- NPI Number: 1285629493
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 05/23/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nanci Roth Nilles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285629493 | NPI | - | NPPES |
| 200396290 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 20041814A (Indiana) | 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. Nanci Roth Nilles 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 |
Nanci Roth Nilles, PSYD 2134 Mary Sherman Dr, Sullivan, IN 47882-7625 Ph: (812) 268-6376 | Nanci Roth Nilles, PSYD 2134 Mary Sherman Dr, Sullivan, IN 47882-7625 Ph: (812) 268-6376 |
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