Dr Thomas A Nicholas Iv, MD | |
1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | |
(719) 365-6999 | |
(719) 365-2837 |
Full Name | Dr Thomas A Nicholas Iv |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 1400 E Boulder St Ste 2508, Colorado Springs, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437194487 | NPI | - | NPPES |
24095 | Other | NE | NE STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 24095 (Nebraska) | Secondary |
207L00000X | Anesthesiology | DR.0039499 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas A Nicholas Iv, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Dr Thomas A Nicholas Iv, MD 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 Ph: (719) 365-6999 |
Dr. Lee Tan Wolfe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-5142 Fax: 719-776-5827 | |
Christopher D Chinn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4090 Briargate Pkwy, Colorado Springs, CO 80920 Phone: 720-777-1234 | |
Mr. Charles Herbert Ripp, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8540 Scarborough Dr, Suite 370, Colorado Springs, CO 80920 Phone: 719-358-8270 Fax: 719-358-8299 | |
Russell Allen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Jennifer Kollman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Dr. Michael J Wempe, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1615 Medical Center Pt, Colorado Springs, CO 80907 Phone: 719-544-1600 | |
Dr. Melissa Cary-jacobs Schmoekel, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 |