Brenda Nichols, CRNA | |
13207 Ravenna Rd, Chardon, OH 44024-7032 | |
(440) 285-6000 | |
Not Available |
Full Name | Brenda Nichols |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 30 Years |
Location | 13207 Ravenna Rd, Chardon, Ohio |
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 |
---|---|---|---|
1780637041 | NPI | - | NPPES |
000000516002 | Other | OH | ANTHEM |
0583328 | Other | OH | BCMH |
7516119 | Other | OH | AETNA |
2389339 | Medicaid | OH | |
000000221285 | Other | OH | UNISON |
P00403006 | Other | OH | MEDICARE RAILROAD |
415014 | Other | OH | WELLCARE MEDICAID |
750937 | Other | OH | BUCKEYE MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN166962 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN166962 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Primary Care Practices Inc | 3072417534 | 930 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Entity Name | University Hospitals Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268 |
Mailing Address | Practice Location Address |
---|---|
Brenda Nichols, CRNA Po Box 526, Novelty, OH 44072-0526 Ph: (440) 285-6000 | Brenda Nichols, CRNA 13207 Ravenna Rd, Chardon, OH 44024-7032 Ph: (440) 285-6000 |
Kent Hardesty, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 131 Chardon Ave, Chardon, OH 44024 Phone: 440-725-7406 | |
Ms. Deanna Louise Love, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Geauga Hospital, Chardon, OH 44024 Phone: 440-285-8000 | |
Mr. George Kuper, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13207 Ravenna Rd, Geauga Hospital, Chardon, OH 44024 Phone: 440-285-6000 | |
Joshua Mark Fegan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 | |
Chad William Crouch, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Chardon, OH 44024 Phone: 440-285-6000 | |
Heidi F. Baldwin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Seventh Ave, Chardon, OH 44024 Phone: 440-285-2900 Fax: 440-286-2905 | |
Mr. John Altier, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13207 Ravenna Rd, Geauga Hospital, Chardon, OH 44024 Phone: 440-285-6000 |