Dr Gary E Nichols, MD in Plymouth, MN - Pediatrics

Dr Gary E Nichols, MD is a Pediatrics physician based in Plymouth, Minnesota. Dr Gary E Nichols is licensed to practice in Minnesota (license number 27358) and his current practice location is 2855 Campus Dr, #350, Plymouth, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 520-1200.

NPI number for Dr Gary E Nichols is 1386612141 and his current mailing address is 2855 Campus Dr, #350, Plymouth, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386612141.

Contact Information

	Dr Gary E Nichols, MD
	2855 Campus Dr, #350, Plymouth, MN 55441-2649
	(763) 520-1200
	(763) 520-1201

Physician's Profile

Full Name	Dr Gary E Nichols
Gender	Male
Speciality	Pediatrics
Location	2855 Campus Dr, Plymouth, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1386612141
Provider Enumeration Date: 03/09/2006
Last Update Date: 09/22/2011

Medical Identifiers

Medical identifiers for Dr Gary E Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386612141	NPI	-	NPPES
992008100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	27358 (Minnesota)	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. Dr Gary E Nichols 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
Dr Gary E Nichols, MD 2855 Campus Dr, #350, Plymouth, MN 55441-2649 Ph: (763) 520-1200	Dr Gary E Nichols, MD 2855 Campus Dr, #350, Plymouth, MN 55441-2649 Ph: (763) 520-1200

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Pediatrics Doctors in Plymouth, MN

Dr. Keena Yue Leung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 Fax: 952-993-8909
Erica Wade Lundberg, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4875 Cottonwood Ln N, Plymouth, MN 55442 Phone: 612-201-4608
Dr. Amy C Burt, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900
Dr. Megan M. Reilly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2855 Campus Dr, #350, Plymouth, MN 55441 Phone: 763-520-1200 Fax: 763-520-1201
Ms. Anna G. Rakovshik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4155 County Road 101 N, Plymouth, MN 55446 Phone: 952-993-8900
Caroline Ruth Mathews, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 Fax: 952-993-8909
Jennifer Exo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11505 36th Ave N, Plymouth, MN 55441 Phone: 763-509-3800

Dr Gary E Nichols, MD - Pediatrics in Plymouth, MN