Dr Lee M Nicols, MD - Medicare General Practice in Jackson, MS

Dr Lee M Nicols, MD is a medicare enrolled "Surgery" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Central Surgical Associates and his current practice location is 1190 N State St, Suite 502, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 944-1781.

Dr Lee M Nicols is licensed to practice in Mississippi (license number T-1706) 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 1750583415.

Contact Information

Dr Lee M Nicols, MD
1190 N State St, Suite 502,
Jackson, MS 39202-2413
(601) 944-1781
(601) 353-0439



Physician's Profile

Full NameDr Lee M Nicols
GenderMale
SpecialityGeneral Practice
Experience15 Years
Location1190 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 Lee M Nicols attended and graduated from University Of Mississippi School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1750583415
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 10/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7911051370
  • Enrollment ID: I20090819000457

Medical Identifiers

Medical identifiers for Dr Lee M Nicols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750583415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery T-1706 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceClinton, MSHome health agency
Mississippi Baptist Medical CenterJackson, MSHospital
Copiah County Medical CenterHazlehurst, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Surgical Associates135535950612

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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 Lee M Nicols allows following entities to bill medicare on his behalf.
Entity NameCentral Surgical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639295009
PECOS PAC ID: 1355359506
Enrollment ID: O20060329000399

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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 Lee M Nicols 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 Lee M Nicols, MD
1190 N State St, Suite 502,
Jackson, MS 39202-2413

Ph: (601) 944-1781
Dr Lee M Nicols, MD
1190 N State St, Suite 502,
Jackson, MS 39202-2413

Ph: (601) 944-1781

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Surgery Doctors in Jackson, MS

Dr. Wayne Shannon Orr Iii, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5452    Fax: 601-815-3322
Jacob M Folse, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5153    Fax: 601-984-6962
Robert Eugene Schmieg Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    Fax: 601-926-4978
Dr. Hal Gregory Fiser, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202
Phone: 601-944-1781    Fax: 601-353-0439
Pierre Edouard De Delva, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, University Of Mississippi Medical Center, Jackson, MS 39216
Phone: 601-984-5170    
Dr. John Magruder Sullivan Iii, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Colton Lott,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-1292    Fax: 601-984-5110

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