Jeffrey R Nichols, DO - Medicare Emergency Medicine in Janesville, WI

Jeffrey R Nichols, DO is a medicare enrolled "Emergency Medicine" physician in Janesville, Wisconsin. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mercy Health System Corporation and his current practice location is 1000 Mineral Point Ave, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 756-6611.

Jeffrey R Nichols is licensed to practice in Wisconsin (license number 69172-21) 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 1316334683.

Contact Information

Jeffrey R Nichols, DO
1000 Mineral Point Ave,
Janesville, WI 53548
(608) 756-6611
(608) 756-6177



Physician's Profile

Full NameJeffrey R Nichols
GenderMale
SpecialityEmergency Medicine
Experience9 Years
Location1000 Mineral Point Ave, Janesville, Wisconsin
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:
  • Jeffrey R Nichols attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2015
  NPI Data:
  • NPI Number: 1316334683
  • Provider Enumeration Date: 04/23/2015
  • Last Update Date: 09/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4385958065
  • Enrollment ID: I20180822001980

Medical Identifiers

Medical identifiers for Jeffrey R Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316334683NPI-NPPES
1316334683MedicaidWI
1316334683OtherWIBCBSWI
4919OtherWIMERCYCARE INSURANCE
K400494086OtherWIWI MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-144477 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 69172-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health System CorpJanesville, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health System Corporation7416860440459

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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. Jeffrey R Nichols allows following entities to bill medicare on his behalf.
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164

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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. Jeffrey R 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
Jeffrey R Nichols, DO
1000 Mineral Point Ave,
Janesville, WI 53548-2940

Ph: (608) 756-6611
Jeffrey R Nichols, DO
1000 Mineral Point Ave,
Janesville, WI 53548

Ph: (608) 756-6611

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Emergency Medicine Doctors in Janesville, WI

Michael J. Hartmann, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6111    Fax: 608-756-6177
Dr. Michael V Coogan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6000    
Sean William Marquis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    Fax: 608-756-6177
Dr. Karl A Nibbelink, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    
Christopher M. Koenig, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    Fax: 608-756-6177
Dr. Martin Fedko,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6611    Fax: 608-756-6177
Stephen L Merrill, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3524 E Milwaukee St, Janesville, WI 53546
Phone: 608-756-7100    Fax: 608-756-4700

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