Scott Nicholson, PA - Medicare Physician Assistant in Edmond, OK

Scott Nicholson, PA is a medicare enrolled "Physician Assistant - Medical" in Edmond, Oklahoma. His current practice location is 1 S Bryant Ave, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 341-6100.

Scott Nicholson is licensed to practice in Oklahoma (license number 2676) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033562673.

Contact Information

Scott Nicholson, PA
1 S Bryant Ave,
Edmond, OK 73034-6309
(405) 341-6100
Not Available



Provider's Profile

Full NameScott Nicholson
GenderMale
SpecialityPhysician Assistant - Medical
Location1 S Bryant Ave, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033562673
  • Provider Enumeration Date: 07/19/2016
  • Last Update Date: 03/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3971883216
  • Enrollment ID: I20161203000108

Medical Identifiers

Medical identifiers for Scott Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033562673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2676 (Oklahoma)Secondary
363AM0700XPhysician Assistant - Medical 2676 (Oklahoma)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. Scott Nicholson 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
Scott Nicholson, PA
7477 E 46th Pl,
Tulsa, OK 74145-6305

Ph: (918) 384-0002
Scott Nicholson, PA
1 S Bryant Ave,
Edmond, OK 73034-6309

Ph: (405) 341-6100

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Physician Assistant Nurses in Edmond, OK

Treka B Wenner, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 46 E 15th St, Edmond, OK 73013
Phone: 405-844-5210    
Mark Patrick Stout, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 18503 N Portland Ave, Edmond, OK 73012
Phone: 405-531-4273    Fax: 405-531-4274
Mrs. Tanya M Keck, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16205 N Pennsylvania Ave, Access Medical Centers, Edmond, OK 73013
Phone: 405-705-5700    Fax: 405-705-5698
Taylor L Beaird, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1208 W 15th St, Edmond, OK 73013
Phone: 405-340-2100    
Rosa J. Rios,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4801 Integris Pkwy, Edmond, OK 73034
Phone: 405-657-3000    
Whitney T Mashburn, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1616 S Kelly Ave, Edmond, OK 73013
Phone: 405-285-8823    Fax: 405-285-8824

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