Derek Neice, | |
315 Hospital Dr, Madison, TN 37115-5030 | |
(703) 595-5207 | |
Not Available |
Full Name | Derek Neice |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 315 Hospital Dr, Madison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457014862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 212385 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C-APN.0101671-C-CRNA (Colorado) | Primary |
Entity Name | Northern Colorado Anesthesia Professionals Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
Mailing Address | Practice Location Address |
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Derek Neice, 1605 54th Ave N Apt 313, Nashville, TN 37209-1588 Ph: (703) 595-5207 | Derek Neice, 315 Hospital Dr, Madison, TN 37115-5030 Ph: (703) 595-5207 |
Steven L. Beaty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1994 Gallatin Pike N, Suite 202, Madison, TN 37115 Phone: 615-851-0001 Fax: 615-851-0021 | |
Henry Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
William Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Troy Sasser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Thomas Coghlan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Alexander W Donesky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503 | |
Laura Elizabeth Andrews, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |