Michael Lynn Nick, CRNA | |
1305 Wonder World Dr Ste 105, Yps Anesthesia, San Marcos, TX 78666-7502 | |
(512) 353-8161 | |
(512) 353-8255 |
Full Name | Michael Lynn Nick |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1305 Wonder World Dr Ste 105, San Marcos, Texas |
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 |
---|---|---|---|
1275512006 | NPI | - | NPPES |
8069UE | Other | TX | BCBS TX |
216464202 | Medicaid | TX |
Facility Name | Location | Facility Type |
---|---|---|
Grace Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grace Clinic Of Lubbock | 5597768101 | 77 |
Patriot Anesthesia | 6608139308 | 4 |
Entity Name | Northstar Anesthesia Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
Entity Name | Grace Clinic Of Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912953357 PECOS PAC ID: 5597768101 Enrollment ID: O20060822000256 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Texas Anesthesia Partners, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
Entity Name | Patriot Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720589310 PECOS PAC ID: 6608139308 Enrollment ID: O20180411000697 |
Mailing Address | Practice Location Address |
---|---|
Michael Lynn Nick, CRNA Po Box 20452, Yps-cred, Columbus, OH 43220-0452 Ph: (614) 442-2406 | Michael Lynn Nick, CRNA 1305 Wonder World Dr Ste 105, Yps Anesthesia, San Marcos, TX 78666-7502 Ph: (512) 353-8161 |
Rockie Lane Dugger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 Fax: 254-200-4090 | |
Ms. Mildred Simon Mozara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
Wendell M Holladay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Ste. 105, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Catherine Renee Carpenter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Lindsey Marie Smith-dunford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666 Phone: 512-353-8161 | |
Courtney Harrell, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3571 |