Brandi Nichols, MD - Medicare Obstetrics/gynecology in Jefferson City, MO

Brandi Nichols, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jefferson City, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Community Health Ctr Of Central Missouri, Jefferson City Medical Group Pc and her current practice location is 1241 W Stadium Blvd, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 636-5248.

Brandi Nichols is licensed to practice in Missouri (license number 2010017190) 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 1578656674.

Contact Information

Brandi Nichols, MD
1241 W Stadium Blvd,
Jefferson City, MO 65109-6023
(573) 636-5248
(573) 636-9390



Physician's Profile

Full NameBrandi Nichols
GenderFemale
SpecialityObstetrics/gynecology
Experience18 Years
Location1241 W Stadium Blvd, Jefferson City, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandi Nichols attended and graduated from University Of Missouri, Columbia School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1578656674
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971637240
  • Enrollment ID: I20100823000708

Medical Identifiers

Medical identifiers for Brandi Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578656674NPI-NPPES
1578656674MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2010017190 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Mary's Hospital Jefferson CityJefferson city, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Ctr Of Central Missouri206245601516
Jefferson City Medical Group Pc185037108997

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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. Brandi Nichols allows following entities to bill medicare on her behalf.
Entity NameJefferson City Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336189398
PECOS PAC ID: 1850371089
Enrollment ID: O20040908000924

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Entity NameCommunity Health Ctr Of Central Missouri
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538213244
PECOS PAC ID: 2062456015
Enrollment ID: O20050610000717

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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. Brandi 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 AddressPractice Location Address
Brandi Nichols, MD
Po Box 104240,
Jefferson City, MO 65110-4240

Ph: (573) 635-5264
Brandi Nichols, MD
1241 W Stadium Blvd,
Jefferson City, MO 65109-6023

Ph: (573) 636-5248

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Obstetrics & Gynecology Doctors in Jefferson City, MO

Amanda Taube Rodemann, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109
Phone: 573-636-5248    Fax: 573-636-9390
Dr. William H. Marshall, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-635-5264    Fax: 573-556-5757
Jodi A Berendzen, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109
Phone: 573-636-5248    Fax: 573-636-9390
Teri A Deffenbaugh, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 Madison St, Ob Gyn Associates, Jefferson City, MO 65101
Phone: 573-632-5510    Fax: 573-632-5810
Serese Yvonne Smith-haxton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1125 Madison St, Jefferson City, MO 65101
Phone: 573-632-5510    Fax: 573-632-5810
Dr. Philo S Su, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2712 Plaza Dr, Jefferson City, MO 65109
Phone: 573-893-5500    

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