Mr John Forrest Nicholson Iii, DNP | |
129 N Washington St, Sumter, SC 29150-4949 | |
(803) 774-9000 | |
Not Available |
Full Name | Mr John Forrest Nicholson Iii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 129 N Washington St, Sumter, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568819449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 881233 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional One Health | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ut Regional One Physicians Inc | 5698993418 | 277 |
Entity Name | Ut Regional One Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice 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 |
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 |