Mr John Forrest Nicholson Iii, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Sumter, SC

Mr John Forrest Nicholson Iii, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sumter, South Carolina. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ut Regional One Physicians Inc and his current practice location is 129 N Washington St, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 774-9000.

Mr John Forrest Nicholson Iii is licensed to practice in Mississippi (license number 881233) 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 1568819449.

Contact Information

Mr John Forrest Nicholson Iii, DNP
129 N Washington St,
Sumter, SC 29150-4949
(803) 774-9000
Not Available

Map and Direction




Provider's Profile

Full NameMr John Forrest Nicholson Iii
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location129 N Washington St, Sumter, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John Forrest Nicholson Iii attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1568819449
  • Provider Enumeration Date: 05/19/2016
  • Last Update Date: 05/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2668753369
  • Enrollment ID: I20200521002648

Medical Identifiers

Medical identifiers for Mr John Forrest Nicholson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568819449NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 881233 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional One HealthMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Regional One Physicians Inc5698993418277

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. Mr John Forrest Nicholson Iii allows following entities to bill medicare on his behalf.
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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. Mr John Forrest Nicholson Iii 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 AddressPractice Location Address
Mr John Forrest Nicholson Iii, DNP
7367 Hugh Ln,
Southaven, MS 38671-5837

Ph: (901) 489-5917
Mr John Forrest Nicholson Iii, DNP
129 N Washington St,
Sumter, SC 29150-4949

Ph: (803) 774-9000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Sumter, SC

Mr. Johnny Raymon Chappell, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-778-9500    
Pamela L Thompson-knight, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-8775    
Roberto Lagarde, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-5203    
Sherri J Babb, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-5203    
Etna C Griffin,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-5203    
Shirley J Houser-stehr, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-5203    
Zachary T Kelly,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 129 N Washington St, Sumter, SC 29150
Phone: 803-774-9000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.