Mrs Rachael J Nikkola, CRNA | |
222 Tongass Dr, Sitka, AK 99835-9416 | |
(907) 966-8421 | |
Not Available |
Full Name | Mrs Rachael J Nikkola |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 222 Tongass Dr, Sitka, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881645059 | NPI | - | NPPES |
44341000 | Medicaid | WI | |
8EE010 | Other | AK | INDIVIDUAL PLAN |
TE063 | Other | AK | MEDICARE FACILITY PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 149952-030 (Wisconsin) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 306 (Alaska) | Secondary |
Entity Name | Grand Canyon Anesthesiology Consultants Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467788414 PECOS PAC ID: 7517009152 Enrollment ID: O20100120000813 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rachael J Nikkola, CRNA 212 Lakeview Dr, Sitka, AK 99835-7308 Ph: (907) 747-7187 | Mrs Rachael J Nikkola, CRNA 222 Tongass Dr, Sitka, AK 99835-9416 Ph: (907) 966-8421 |
Mrs. Jeanette Susan Berry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Tongass Dr, Sitka, AK 99835 Phone: 907-966-8837 Fax: 907-966-8807 | |
Mr. James H Mellema, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Tongass Dr, Anesthesia Dept, Sitka, AK 99835 Phone: 907-966-8837 |