Nicholas Vivian Charles Douglas, - Medicare Nurse Anesthetist, Certified Registered in Hollywood, FL

  1. Home
  2. Nurse Anesthetist - CR
  3. FL
  4. Hollywood
Nicholas Vivian Charles Douglas, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hollywood, Florida. His current practice location is 4108 W Park Rd, Hollywood, Florida. You can reach out to his office (for appointments etc.) via phone at (754) 214-4432.

Nicholas Vivian Charles Douglas is licensed to practice in Florida (license number 11016993) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417686874.

Contact Information

Nicholas Vivian Charles Douglas,
4108 W Park Rd,
Hollywood, FL 33021-4244
(754) 214-4432
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Vivian Charles Douglas
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location4108 W Park Rd, Hollywood, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417686874
  • Provider Enumeration Date: 06/09/2022
  • Last Update Date: 06/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355721416
  • Enrollment ID: I20220706003950

Medical Identifiers

Medical identifiers for Nicholas Vivian Charles Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417686874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 11016993 (Florida)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. Nicholas Vivian Charles Douglas allows following entities to bill medicare on his behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameAnesthesia Physician Solutions Of South Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104248699
PECOS PAC ID: 4688805286
Enrollment ID: O20140325000665

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. Nicholas Vivian Charles Douglas 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 AddressPractice Location Address
Nicholas Vivian Charles Douglas,
4108 W Park Rd,
Hollywood, FL 33021-4244

Ph: (754) 214-4432		Nicholas Vivian Charles Douglas,
4108 W Park Rd,
Hollywood, FL 33021-4244

Ph: (754) 214-4432

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Hollywood, FL

Joseph Benson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3501 Johnson St, Hollywood, FL 33021
Phone: 954-987-2000    
Karel J Davis,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3501 Johnson St, Hollywood, FL 33021
Phone: 954-838-2371    
Miss Ashley Heather Cevallos, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3501 Johnson St, Hollywood, FL 33021
Phone: 954-987-2000    
Ruby J Allman, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5521 Polk St, Hollywood, FL 33021
Phone: 954-961-7334    
Sandra Mercedes Amoretti, DNP, CRNA, APRN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3475 Sheridan St Ste 104, Hollywood, FL 33021
Phone: 888-503-0061    
Suzanne M Hale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3501 Johnson St, Hollywood, FL 33021
Phone: 954-987-2000    
Barbara Sloan, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2671 E Saratoga Dr, Hollywood, FL 33026
Phone: 954-562-2055    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.