Nicole Marie Fetzer, CRNA | |
225 Greenfield Pkwy Ste 105, Liverpool, NY 13088 | |
(315) 451-6911 | |
(315) 451-1540 |
Full Name | Nicole Marie Fetzer |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 225 Greenfield Pkwy Ste 105, Liverpool, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902105273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 543801 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 543801 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Niagara Falls Memorial Medical Center | Niagara falls, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkside Medical Anesthesia Associates | 7517854631 | 55 |
North American Partners In Anesthesia Llp | 7719885771 | 504 |
Entity Name | U Of R Anesthesiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609806488 PECOS PAC ID: 3476451105 Enrollment ID: O20031219000433 |
Entity Name | North American Partners In Anesthesia Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Entity Name | Parkside Medical Anesthesia Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871537464 PECOS PAC ID: 7517854631 Enrollment ID: O20040303000453 |
Entity Name | Oswego Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871678458 PECOS PAC ID: 4981686045 Enrollment ID: O20040602001275 |
Entity Name | Great Lakes Surgical Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851574024 PECOS PAC ID: 4486738929 Enrollment ID: O20080222000298 |
Mailing Address | Practice Location Address |
---|---|
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 |