Nickolas Fedack, DNP, CRNA in El Paso, TX - Medicare Nurse Anesthetist, Certified Registered

Nickolas Fedack, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in El Paso, Texas. His current practice location is 5005 N. Piedras St., El Paso, Texas. You can reach out to his office (for appointments etc.) via phone at (915) 742-1970.

Nickolas Fedack is licensed to practice in Texas (license number 1087313) 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 1124618061.

Contact Information

	Nickolas Fedack, DNP, CRNA
	5005 N. Piedras St., El Paso, TX 79920-5001
	(915) 742-1970
	Not Available

Map and Direction

Provider's Profile

Full Name	Nickolas Fedack
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	5005 N. Piedras St., El Paso, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124618061
Provider Enumeration Date: 01/25/2021
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5193189553
Enrollment ID: I20230919000240

Medical Identifiers

Medical identifiers for Nickolas Fedack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124618061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1087313 (Texas)	Primary
163WC0200X	Registered Nurse - Critical Care Medicine	RN.1638551 (Colorado)	Secondary

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. Nickolas Fedack allows following entities to bill medicare on his behalf.

Entity Name	El Paso Ams Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134740202 PECOS PAC ID: 9931520970 Enrollment ID: O20200601000147

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. Nickolas Fedack 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
Nickolas Fedack, DNP, CRNA 18511 Highlander Medics St, Fort Bliss, TX 79906-5327 Ph: (915) 742-7777	Nickolas Fedack, DNP, CRNA 5005 N. Piedras St., El Paso, TX 79920-5001 Ph: (915) 742-1970

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in El Paso, TX

Josue Alvarado, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 N Oregon St, El Paso, TX 79902 Phone: 915-521-1200
Heather Kay Acosta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-544-1200
Juan J. Torres, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5959 Gateway Blvd W, Ste. 120, El Paso, TX 79925 Phone: 915-779-1716 Fax: 915-771-6558
Mario Nunez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1815 N Stanton St, El Paso, TX 79902 Phone: 915-533-8412
Mrs. Rachel Wood, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1625 Medical Center Dr, El Paso, TX 79902 Phone: 915-577-7746
Tina Marie Whitman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4845 Alameda Ave, El Paso, TX 79905 Phone: 915-215-5666 Fax: 915-215-5047
Mr. Joseph Edward Kellogg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5005 N Piedras St, Wbamc, El Paso, TX 79920 Phone: 915-569-1233

Nickolas Fedack, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in El Paso, TX