Ms Gretchen Lynn Nicholson, CRNA | |
624 Hospital Dr Dept 4610, Mountain Home, AR 72653-2955 | |
(870) 508-1000 | |
Not Available |
Full Name | Ms Gretchen Lynn Nicholson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 624 Hospital Dr Dept 4610, Mountain Home, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841384344 | NPI | - | NPPES |
200068790A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R0082487 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
Baxter Regional Medical Center | Mountain home, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Anesthesiologists, Inc. | 7911989017 | 107 |
Baxter County Regional Hospital Inc | 0042389264 | 78 |
Arkansas Anesthesia Associates Pllc | 6406023142 | 51 |
Entity Name | Associated Anesthesiologists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891733598 PECOS PAC ID: 7911989017 Enrollment ID: O20040603000292 |
Mailing Address | Practice Location Address |
---|---|
Ms Gretchen Lynn Nicholson, CRNA Po Box 2336, Mountain Home, AR 72654-2336 Ph: (870) 424-7070 | Ms Gretchen Lynn Nicholson, CRNA 624 Hospital Dr Dept 4610, Mountain Home, AR 72653-2955 Ph: (870) 508-1000 |
Ms. Paula Stork, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 160 Highway 201 N, Mountain Home, AR 72653 Phone: 870-508-2100 Fax: 870-508-2150 | |
Jeffrey Dupre Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Mr. William R Garner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Dept. 4610, Mountain Home, AR 72653 Phone: 870-508-1810 Fax: 202-209-3049 | |
Betty S Tiner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 624 Hospital Drive, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Aaron May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Drive, Dept 4610, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Kenny T Owens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-1000 Fax: 870-424-6616 | |
Lacey Hlass, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 |