Dr James R Nichols Iii, DO - Medicare Emergency Medicine in Jackson, MS

Dr James R Nichols Iii, DO is a medicare enrolled "Emergency Medicine" physician in Jackson, Mississippi. He went to Kansas City College Of Medicine And Surgery and graduated in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-4000.

Dr James R Nichols Iii is licensed to practice in Mississippi (license number 21721) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104056415.

Contact Information

Dr James R Nichols Iii, DO
2500 N State St,
Jackson, MS 39216-4500
(601) 984-4000
Not Available



Physician's Profile

Full NameDr James R Nichols Iii
GenderMale
SpecialityEmergency Medicine
Experience15 Years
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James R Nichols Iii attended and graduated from Kansas City College Of Medicine And Surgery in 2009
  NPI Data:
  • NPI Number: 1104056415
  • Provider Enumeration Date: 07/21/2009
  • Last Update Date: 05/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8729250527
  • Enrollment ID: I20111019000867

Medical Identifiers

Medical identifiers for Dr James R Nichols Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104056415NPI-NPPES
06122352MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 21721 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Merit Health MadisonCanton, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804

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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. Dr James R Nichols Iii allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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Entity NameCapital Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528405230
PECOS PAC ID: 0244471480
Enrollment ID: O20130730000783

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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. Dr James R Nichols Iii 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
Dr James R Nichols Iii, DO
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-4000
Dr James R Nichols Iii, DO
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-4000

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Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-2005    
Dr. Melanie Fox, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Mohsin Saber, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201
Phone: 601-984-5582    Fax: 601-984-5583
Dr. Gabriel William Tonkin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216
Phone: 601-984-5582    
John C Brooks, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1225 N State St, Jackson, MS 39202
Phone: 601-982-6001    Fax: 601-982-8616
Bob Hutchins,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3502 W Northside Dr, Jackson, MS 39213
Phone: 601-362-5321    Fax: 601-364-2600
Lana Ngoc Phan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-1000    

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