Mr Nicholas Holloway, CRNA in Pine Bluff, AR - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Nicholas Holloway, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pine Bluff, Arkansas. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Jefferson Regional Anesthesia Llc and his current practice location is 1801 W 40th Ave, Suite 2b, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 535-7457.

Mr Nicholas Holloway is licensed to practice in Arkansas (license number C003090) 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 1366822058.

Contact Information

	Mr Nicholas Holloway, CRNA
	1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940
	(870) 535-7457
	(870) 535-2522

Map and Direction

Provider's Profile

Full Name	Mr Nicholas Holloway
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	1801 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare Assignments	Yes. 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 Nicholas Holloway graduated from nursing school in 2015

NPI Data:

NPI Number: 1366822058
Provider Enumeration Date: 06/08/2015
Last Update Date: 09/30/2015

Medicare PECOS Information:

PECOS PAC ID: 8426369976
Enrollment ID: I20150624002130

Medical Identifiers

Medical identifiers for Mr Nicholas Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366822058	NPI	-	NPPES
5AR79	Other	AR	BCBS
P01502904	Other	AR	RR MEDICARE
209579001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	C003090 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson Regional Anesthesia Llc	6204171846	15

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 Nicholas Holloway allows following entities to bill medicare on his behalf.

Entity Name	Premier Anesthesia Of Arkansas Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060

Entity Name	Jefferson Regional Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163

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 Nicholas Holloway 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 Nicholas Holloway, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457	Mr Nicholas Holloway, CRNA 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 Ph: (870) 535-7457

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pine Bluff, AR

Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864
Jon C Valentine, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522

Mr Nicholas Holloway, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pine Bluff, AR