Stephen Wayne Nichols, MD | |
1100 Butte St, Redding, CA 96001-0852 | |
(530) 241-0410 | |
Not Available |
Full Name | Stephen Wayne Nichols |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 1100 Butte St, Redding, California |
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 |
---|---|---|---|
1346217510 | NPI | - | NPPES |
GR0055650 | Medicaid | CA | |
A053775 | Other | CA | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A053775 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shasta Regional Medical Center | Redding, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Far Northern Anesthesia Consultants | 9032463955 | 5 |
Entity Name | Far Northern Anesthesia Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174017214 PECOS PAC ID: 9032463955 Enrollment ID: O20181113001142 |
Entity Name | Green Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457039331 PECOS PAC ID: 6103270566 Enrollment ID: O20231004000338 |
Mailing Address | Practice Location Address |
---|---|
Stephen Wayne Nichols, MD 3116 W. March Ln,, Ste 200, Stockton, CA 95219-2370 Ph: (209) 473-6555 | Stephen Wayne Nichols, MD 1100 Butte St, Redding, CA 96001-0852 Ph: (530) 241-0410 |
Daniel M Goodman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1465 Victor Ave, Suite A, Redding, CA 96003 Phone: 530-605-4557 Fax: 530-605-4531 | |
John Craig Stewart, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-6000 Fax: 530-243-0445 | |
Admire Kuchena, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-6000 | |
Thomas C Thomas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8925 Elusion Ct, Redding, CA 96001 Phone: 530-243-1559 Fax: 530-244-6547 | |
Douglas Kevin Mandel, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-7100 | |
Pavan K Davuluri, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Butte St, Redding, CA 96001 Phone: 530-241-0410 | |
Forrest R Monroe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460 |