Beverly Nichols, - Specialist in Kew Gardens, NY

Beverly Nichols, is a Specialist based in Kew Gardens, New York. Beverly Nichols is licensed to practice in New York (license number 9569L001) and her current practice location is 12510 Queens Blvd, Kew Gardens, New York. She can be reached at her office (for appointments etc.) via phone at (718) 459-5592.

NPI number for Beverly Nichols is 1255403242 and her current mailing address is 12510 Queens Blvd, Kew Gardens, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255403242.

Contact Information

Beverly Nichols,
12510 Queens Blvd,
Kew Gardens, NY 11415-1519
(718) 459-5592
(718) 459-6047



Provider's Profile

Full NameBeverly Nichols
GenderFemale
SpecialitySpecialist
Location12510 Queens Blvd, Kew Gardens, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255403242
  • Provider Enumeration Date: 11/14/2006
  • Last Update Date: 12/13/2021

Medical Identifiers

Medical identifiers for Beverly Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255403242NPI-NPPES
01761260MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SH0200XClinical Nurse Specialist - Home Health 9569L001 (New York)Secondary
374U00000XHome Health Aide 9569L001 (New York)Secondary
174400000XSpecialist 9569L001 (New York)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. Beverly 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 AddressPractice Location Address
Beverly Nichols,
12510 Queens Blvd,
Kew Gardens, NY 11415-1519

Ph: (718) 459-5592
Beverly Nichols,
12510 Queens Blvd,
Kew Gardens, NY 11415-1519

Ph: (718) 459-5592

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