Nanci Roth Nilles, PSYD is a
Psychologist - Clinical based in Sullivan, Indiana. Nanci Roth Nilles is licensed to practice in Indiana (license number 20041814A) and her current practice location is
2134 Mary Sherman Dr, Sullivan, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 268-6376.
NPI number for Nanci Roth Nilles is 1285629493 and her current mailing address is 2134 Mary Sherman Dr, Sullivan, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285629493.
Healthcare Provider's Profile
| Full Name | Nanci Roth Nilles |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 2134 Mary Sherman Dr, Sullivan, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285629493
- Provider Enumeration Date: 09/14/2005
- Last Update Date: 05/23/2011
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
NOT enrolled with medicare and thus cannot 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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