Mr Ross Alan Nickoley, CRNA | |
2201 West Lampasasas St, Ennis Regional Medical Center, Ennis, TX 75119 | |
(972) 875-0900 | |
(469) 256-2459 |
Full Name | Mr Ross Alan Nickoley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 2201 West Lampasasas St, Ennis, 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 |
---|---|---|---|
1992748263 | NPI | - | NPPES |
2006005130 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2006005130 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity - Rock Island | Rock island, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sweet Dreams Anesthesia Inc | 0042477705 | 41 |
Clinical Colleagues Inc | 8729011333 | 106 |
Entity Name | Sweet Dreams Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
Entity Name | Watson Anesthesia Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548513278 PECOS PAC ID: 8123270154 Enrollment ID: O20121220000150 |
Mailing Address | Practice Location Address |
---|---|
Mr Ross Alan Nickoley, CRNA 12492 Audran Rd 9931, Mexico, MO 65265 Ph: (573) 590-4046 | Mr Ross Alan Nickoley, CRNA 2201 West Lampasasas St, Ennis Regional Medical Center, Ennis, TX 75119 Ph: (972) 875-0900 |
Mr. Matthew Garrett Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 W. Lampasas Street, Ennis, TX 75119 Phone: 972-875-0900 Fax: 469-256-2163 | |
Roger A Frost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 803 W Lampasas St, Ennis, TX 75119 Phone: 972-875-0900 | |
Mr. Bryan K Daniels, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 W Lampasas St, Ennis, TX 75119 Phone: 972-875-0900 |