Nicole Marie Fetzer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Liverpool, New York. Her current practice location is
225 Greenfield Pkwy Ste 105, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 451-6911.
Nicole Marie Fetzer is licensed to practice in New York (license number 543801) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902105273.
Physician's Profile
| Full Name | Nicole Marie Fetzer |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 225 Greenfield Pkwy Ste 105, Liverpool, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Marie Fetzer attended and graduated from in
NPI Data:
- NPI Number: 1902105273
- Provider Enumeration Date: 03/25/2011
- Last Update Date: 07/22/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Marie Fetzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902105273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 543801 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 543801 (New York) | 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. Nicole Marie Fetzer 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 Address | Practice Location Address |
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Nicole Marie Fetzer, CRNA
Po Box 2337,
Syracuse, NY 13220-2337
Ph: (315) 422-6705 | Nicole Marie Fetzer, CRNA
225 Greenfield Pkwy Ste 105,
Liverpool, NY 13088
Ph: (315) 451-6911 |
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