Allison Nichol, D.O., ATC
Individual provider Active NPI Family Medicine Physician · Marlette, MI
NPI 1457664682 · NPPES record last updated Jun 29, 2015
Key facts
- NPI
- 1457664682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101018973 (MI)
- Practice address
- 2750 Main St
Suite 1
Marlette, MI 48453-1100 - Phone
- (989) 635-4104
- Fax
- (989) 635-1877
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rau Physical Therapy Inc
Powerback Rehabilitation LLC
Covenant Medical Center, Inc.
Practice addresses (Care Compare)
193 E Jefferson St
Frankenmuth, MI 48734-1935
255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016
600 N Main St
220B Covenant Cardiology
Frankenmuth, MI 48734-1152
Phone (989) 652-1440
Hospital & facility affiliations
- Covenant at Home
- Covenant Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 41 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140820002504 | MI | Practitioner - Family Practice |
6901032689 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080402394 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlette Regional Hospital | Family Medicine | Current |
Accepting new patients |
| Covenant Medical Center, Inc | Family Medicine | Current |
Accepting new patients |
| Marlette Regional Hospital | Family Medicine | Current |
Accepting new patients |
| Marlette Regional Hospital | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current |
Accepting new patients |
Locations
600 N Main St
Ste 210
Frankenmuth, MI 48734
Phone (989) 652-1440
600 N Main St
Ste 220B
Frankenmuth, MI 48734
Phone (989) 583-6521
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050
2750 Main St
Ste 1
Marlette, MI 48453
Phone (989) 635-3295
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
Interoperability endpoints
- anichol47420@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 080402394 | MI | |
| Family Medicine Physician | 207Q00000X | 5101018973 | MI | Yes |
Addresses
Primary practice location
2750 Main St
Suite 1
Marlette, MI 48453-1100
Mailing address
2750 Main St
Suite 1
Marlette, MI 48453-1100
Other providers in Marlette, MI
- Michael R McClelland
- Joyce McNabb
- Makayla Rose McNary
- Mohan Dass Macha MD PC
- Janet A. Mutch
- Nitin K.G.Golechha MD,PC.
- Brad Reck
- Reliant Renal Care-Marlette LLC
- Rite Aid of Michigan Inc
- Robert G Mutch DO PC
All providers in Marlette, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.