Mr Joseph H Nickerson Iv, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Arcadia, California. His current practice location is
255 E Santa Clara St Ste 110, Arcadia, California. You can reach out to his office (for appointments etc.) via phone at
(626) 294-9003.
Mr Joseph H Nickerson Iv is licensed to practice in California (license number NA2569) 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 1770648578.
Provider's Profile
| Full Name | Mr Joseph H Nickerson Iv |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 255 E Santa Clara St Ste 110, Arcadia, California |
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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:
- Mr Joseph H Nickerson Iv attended and graduated from in
NPI Data:
- NPI Number: 1770648578
- Provider Enumeration Date: 12/22/2006
- Last Update Date: 05/16/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Joseph H Nickerson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770648578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 499960RN (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA2569 (California) | Primary |
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 Joseph H Nickerson Iv 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 |
|---|
Mr Joseph H Nickerson Iv, CRNA
Po Box 660257,
Birmingham, AL 35266-0257
Ph: (205) 979-5882 | Mr Joseph H Nickerson Iv, CRNA
255 E Santa Clara St Ste 110,
Arcadia, CA 91006-7233
Ph: (626) 294-9003 |
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