Kent A Nickell, MD | |
1825 Logan Ave, Northeast Iowa Pathology Associates,pc, Waterloo, IA 50703-1916 | |
(319) 235-3679 | |
(319) 233-0722 |
Full Name | Kent A Nickell |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 43 Years |
Location | 1825 Logan Ave, Waterloo, Iowa |
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 |
---|---|---|---|
1942270004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 32811 (Iowa) | Secondary |
207ZC0500X | Pathology - Cytopathology | 036148445 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Javon Bea Hospital | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Rockford Health Physicians | 2567374036 | 304 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Kent A Nickell, MD 2400 N Rockton Ave, Mercyhealth- Rockford Health Physicians, Rockford, IL 61103-3655 Ph: (815) 971-5000 | Kent A Nickell, MD 1825 Logan Ave, Northeast Iowa Pathology Associates,pc, Waterloo, IA 50703-1916 Ph: (319) 235-3679 |
Lori Lynn Sinclair, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 Fax: 319-272-8850 | |
Wei Yang, Pathology Medicare: Accepting Medicare Assignments Practice Location: Northeast Iowa Pathology Associates, Pc, 1825 Logan Avenue, Waterloo, IA 50703 Phone: 319-235-3679 Fax: 319-233-0722 | |
Alan Brown, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Northeast Iowa Pathology Associates, Pc, 1825 Logan Avenue, Waterloo, IA 50703 Phone: 319-235-3679 Fax: 319-233-0722 | |
Kahp S So, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 Fax: 319-233-0722 | |
William R Kasten, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 Fax: 319-233-0722 |