Timothy Robert Nichols, PSYCHOLOGIST MS is a medicare enrolled "Psychologist" provider in Scott Depot, West Virginia. His current practice location is
97 Great Teays Blvd Ste 6, Scott Depot, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 757-6999.
Timothy Robert Nichols is licensed to practice in West Virginia (license number 1356) 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 1477045433.
Healthcare Provider's Profile
| Full Name | Timothy Robert Nichols |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 97 Great Teays Blvd Ste 6, Scott Depot, West Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1477045433
- Provider Enumeration Date: 06/05/2018
- Last Update Date: 09/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820514615
- Enrollment ID: I20250424001745
Medical Identifiers
Medical identifiers for Timothy Robert Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477045433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1356 (West Virginia) | 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. Timothy Robert Nichols allows following entities to bill medicare on his behalf.
| Entity Name | Womencare Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1194759290
PECOS PAC ID: 4587568134
Enrollment ID: O20031125000177 |
|---|
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. Timothy Robert 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 |
|---|
Timothy Robert Nichols, PSYCHOLOGIST MS
103 Brookside Dr,
Scott Depot, WV 25560-9736
Ph: (304) 790-2432 | Timothy Robert Nichols, PSYCHOLOGIST MS
97 Great Teays Blvd Ste 6,
Scott Depot, WV 25560-9816
Ph: (304) 757-6999 |
Reviews and Comments