Derek Nickerson, CRNA in Greenville, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Derek Nickerson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, South Carolina. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Spartanburg Medical Center, Prisma Health University Medical Group and his current practice location is 7 Independence Pt Ste 300, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 522-3700.

Derek Nickerson is licensed to practice in South Carolina (license number 19269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639576614.

Contact Information

	Derek Nickerson, CRNA
	7 Independence Pt Ste 300, Greenville, SC 29615-4569
	(864) 522-3700
	(864) 522-3705

Map and Direction

Provider's Profile

Full Name	Derek Nickerson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	7 Independence Pt Ste 300, Greenville, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Nickerson graduated from nursing school in 2014

NPI Data:

NPI Number: 1639576614
Provider Enumeration Date: 11/19/2014
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8729305925
Enrollment ID: I20150327001301

Medical Identifiers

Medical identifiers for Derek Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639576614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9298682 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	19269 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spartanburg Medical Center	Spartanburg, SC	Hospital
Prisma Health Greenville Memorial Hospital	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spartanburg Medical Center	3072425297	912
Prisma Health University Medical Group	8325950983	2206

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek Nickerson allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Greenville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210

Entity Name	Prisma Health-upstate
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767

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. Derek Nickerson 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
Derek Nickerson, CRNA 300 E Mcbee Ave Ste 401, Greenville, SC 29601-2842 Ph: (864) 522-8603	Derek Nickerson, CRNA 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greenville, SC

Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286
Tyler Withrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000

Derek Nickerson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Greenville, SC