Elizabeth Nichols, OD - Medicare Optometrist in Traverse City, MI

Elizabeth Nichols, OD is a medicare enrolled "Optometrist" provider in Traverse City, Michigan. Her current practice location is 3200 S Airport Rd W, 146, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 941-5440.

Elizabeth Nichols is licensed to practice in Michigan (license number EN002584) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164407813.

Contact Information

Elizabeth Nichols, OD
3200 S Airport Rd W, 146,
Traverse City, MI 49684-8117
(231) 941-5440
(231) 941-0893



Healthcare Provider's Profile

Full NameElizabeth Nichols
GenderFemale
SpecialityOptometrist
Location3200 S Airport Rd W, Traverse City, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164407813
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 08/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9638285919
  • Enrollment ID: I20111209000670

Medical Identifiers

Medical identifiers for Elizabeth Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164407813NPI-NPPES
1808535MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist EN002584 (Michigan)Primary

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. Elizabeth Nichols allows following entities to bill medicare on her behalf.
Provider NameNichols Optical Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1679558712
PECOS PAC ID: 2466447966
Enrollment ID: O20040415000386

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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. Elizabeth 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
Elizabeth Nichols, OD
336 W Front St, 146,
Traverse City, MI 49684-2204

Ph: (231) 941-7788
Elizabeth Nichols, OD
3200 S Airport Rd W, 146,
Traverse City, MI 49684-8117

Ph: (231) 941-5440

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Optometrist in Traverse City, MI

Jennifer Ann Lintz, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 929 Business Park Dr, Traverse City, MI 49686
Phone: 231-947-6246    Fax: 231-947-8864
Julie Slough Runstrom, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3200 S Airport Rd W, #146, Traverse City, MI 49684
Phone: 231-941-7788    Fax: 231-941-0893
Christopher Gilmartin, O.d., Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 822 Cass St, Suite B, Traverse City, MI 49684
Phone: 231-946-6095    
Dr. Christopher Michael Reed, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 527 W Front St, Traverse City, MI 49684
Phone: 231-947-8667    
Carl J Erickson, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5199 N Royal Dr, Traverse City, MI 49684
Phone: 231-935-8101    Fax: 231-935-0955
Full Spectrum Eyecare
Optometrist
Medicare: Medicare Enrolled
Practice Location: 328 Munson Ave, Traverse City, MI 49686
Phone: 231-946-8460    Fax: 231-946-8507
Marc L Austhof Od Eye Care Services Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2640 Crossing Cir, Traverse City, MI 49684
Phone: 231-933-7195    Fax: 231-933-7197

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