Mr Phillip Todd Nichols, MD - Medicare Otolaryngology in Charleston, WV

Mr Phillip Todd Nichols, MD is a medicare enrolled "Otolaryngology" physician in Charleston, West Virginia. He went to West Virginia University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Cmh Physician Services Llc and his current practice location is 500 Donnally St, Suite 200, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 342-0124.

Mr Phillip Todd Nichols is licensed to practice in Virginia (license number 0101273372) 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 1396744652.

Contact Information

Mr Phillip Todd Nichols, MD
500 Donnally St, Suite 200,
Charleston, WV 25301-1648
(304) 342-0124
(304) 340-2204



Physician's Profile

Full NameMr Phillip Todd Nichols
GenderMale
SpecialityOtolaryngology
Experience30 Years
Location500 Donnally St, Charleston, West Virginia
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:
  • Mr Phillip Todd Nichols attended and graduated from West Virginia University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1396744652
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032254115
  • Enrollment ID: I20211202002040

Medical Identifiers

Medical identifiers for Mr Phillip Todd Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396744652NPI-NPPES
040014129OtherWVRR MEDICARE
1157768001OtherWVCIGNA
550595497023OtherWVBC/BS
7979026OtherWVAETNA
0300079000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 19053 (West Virginia)Secondary
207YX0007XOtolaryngology - Plastic Surgery Within The Head & Neck 0101273372 (Virginia)Secondary
207Y00000XOtolaryngology 0101273372 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Memorial HospitalSouth hill, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cmh Physician Services Llc3779551445108

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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. Mr Phillip Todd Nichols allows following entities to bill medicare on his behalf.
Entity NameCmh Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171

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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. Mr Phillip Todd 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
Mr Phillip Todd Nichols, MD
Po Box 1628,
Charleston, WV 25326-1628

Ph: (304) 342-0124
Mr Phillip Todd Nichols, MD
500 Donnally St, Suite 200,
Charleston, WV 25301-1648

Ph: (304) 342-0124

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Otolaryngology Doctors in Charleston, WV

Dr. Richard Austin Wallace, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1306 Kanawha Blvd E, Charleston, WV 25301
Phone: 304-343-4371    Fax: 304-353-0215
Carrie Marie Bush, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Pennsylvania Ave, Suite 405, Charleston, WV 25302
Phone: 304-388-2980    Fax: 304-388-2981
Marcus Doddridge Shaffer, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302
Phone: 304-388-2950    Fax: 304-388-2951
Dr. David Richard Lough, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Donnally St Ste 200, Charleston, WV 25301
Phone: 304-767-7830    Fax: 304-767-7829
Mr. Michael R Goins, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Virginia St. E, Suite 200, Charleston, WV 25301
Phone: 304-353-0200    Fax: 304-353-0337

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