John Louis Nickle, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Thompsons Station, Tennessee. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medstream Anesthesia Pllc and his current practice location is
1651 Hampshire Pl, Thompsons Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 999-0283.
John Louis Nickle is licensed to practice in New Hampshire (license number 08178723) 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 1992359400.
Provider's Profile
| Full Name | John Louis Nickle |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 1651 Hampshire Pl, Thompsons Station, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Louis Nickle graduated from nursing school in 2019
NPI Data:
- NPI Number: 1992359400
- Provider Enumeration Date: 08/01/2019
- Last Update Date: 04/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082049945
- Enrollment ID: I20210917001931
Medical Identifiers
Medical identifiers for John Louis Nickle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992359400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 183517 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 08178723 (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medstream Anesthesia Pllc | 7416198049 | 570 |
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. John Louis Nickle allows following entities to bill medicare on his behalf.
| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140314001426 |
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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. John Louis Nickle 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 |
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John Louis Nickle,
1651 Hampshire Pl,
Thompsons Station, TN 37179-5496
Ph: (615) 999-0283 | John Louis Nickle,
1651 Hampshire Pl,
Thompsons Station, TN 37179-5496
Ph: (615) 999-0283 |
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