Ms Irene S Nicholas, in Duluth, GA - Medicare Nurse Anesthetist, Certified Registered

Ms Irene S Nicholas, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Duluth, Georgia. Her current practice location is 6325 W Johns Xing, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 778-8311.

Ms Irene S Nicholas is licensed to practice in Georgia (license number RN096684) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104911841.

Contact Information

	Ms Irene S Nicholas,
	6325 W Johns Xing, Duluth, GA 30097-5746
	(404) 778-8311
	(404) 495-1585

Map and Direction

Provider's Profile

Full Name	Ms Irene S Nicholas
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	6325 W Johns Xing, Duluth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104911841
Provider Enumeration Date: 10/04/2006
Last Update Date: 08/18/2015

Medicare PECOS Information:

PECOS PAC ID: 5193611507
Enrollment ID: I20040224000241

Medical Identifiers

Medical identifiers for Ms Irene S Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104911841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN096684 (Georgia)	Primary

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. Ms Irene S Nicholas allows following entities to bill medicare on her behalf.

Entity Name	Emory Specialty Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447

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. Ms Irene S Nicholas 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
Ms Irene S Nicholas, 1540 Heritage Trl, Roswell, GA 30075-4897 Ph: (404) 433-4657	Ms Irene S Nicholas, 6325 W Johns Xing, Duluth, GA 30097-5746 Ph: (404) 778-8311

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Duluth, GA

Ms. Adrenne M Wygonik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3079 Peachtree Industrial Blvd, Anesthesia Healthcare Partners/hbl Anesthesia Services, Duluth, GA 30097 Phone: 678-713-5847 Fax: 770-945-5960
Marla Autry Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3079 Peachtree Industrial Blvd, Anesthesia Dept., Duluth, GA 30097 Phone: 800-945-6133
Kristin Dortch, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6335 Hospital Pkwy Ste Ll17, Duluth, GA 30097 Phone: 404-778-8311
Brandon P Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Pkwy, Duluth, GA 30097 Phone: 678-474-7000
Andrea Baker, CRNA, DNP Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2620 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8000 Fax: 404-785-8001
Imani Harriott, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Duluth, GA 30097 Phone: 404-778-8311

Ms Irene S Nicholas, - Medicare Nurse Anesthetist, Certified Registered in Duluth, GA