Nickolaus A Spain, CRNA | |
353 Fairmont Blvd, Rapid City, SD 57701-7350 | |
(605) 755-1000 | |
Not Available |
Full Name | Nickolaus A Spain |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 353 Fairmont Blvd, Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1275851933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | CR000837 (South Dakota) | Primary |
Entity Name | Regional West Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982718219 PECOS PAC ID: 1759285885 Enrollment ID: O20031120000963 |
Mailing Address | Practice Location Address |
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Nickolaus A Spain, CRNA 353 Fairmont Blvd, Atten Christie Mss, Rapid City, SD 57701-7350 Ph: () - | Nickolaus A Spain, CRNA 353 Fairmont Blvd, Rapid City, SD 57701-7350 Ph: (605) 755-1000 |
Dawn Jo Zastoupil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57501 Phone: 605-755-1000 | |
Patrick Staedtler, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-755-1000 | |
Joseph W Amo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-1000 | |
Jessica Anne Newman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-1000 | |
Karen A Bryant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 353 Fairmont Blvd., Rapid City, SD 57701 Phone: 605-719-1000 | |
Mr. Peter Schwiesow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 216 Anamaria Dr, Rapid City, SD 57701 Phone: 606-721-4700 | |
Carter Allen Wevik, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 216 Anamaria Dr, Rapid City, SD 57701 Phone: 605-721-4700 |