Nicolette Whiteside, in Phoenix, AZ - Medicare Nurse Anesthetist, Certified Registered

Nicolette Whiteside, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. Her current practice location is 2000 W Bethany Home Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 923-5668.

Nicolette Whiteside is licensed to practice in Arizona (license number CRNA298070) 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 1700563681.

Contact Information

	Nicolette Whiteside,
	2000 W Bethany Home Rd, Phoenix, AZ 85015-2443
	(602) 923-5668
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicolette Whiteside
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2000 W Bethany Home Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700563681
Provider Enumeration Date: 07/03/2023
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 5698121499
Enrollment ID: I20231031001892

Medical Identifiers

Medical identifiers for Nicolette Whiteside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700563681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN199765 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA298070 (Arizona)	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. Nicolette Whiteside allows following entities to bill medicare on her behalf.

Entity Name	Summit Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694

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. Nicolette Whiteside 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
Nicolette Whiteside, Po Box 11475, Chandler, AZ 85248-0008 Ph: () -	Nicolette Whiteside, 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 Ph: (602) 923-5668

Reviews and Comments

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Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988
Leila Mclawhorn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039

Nicolette Whiteside, - Medicare Nurse Anesthetist, Certified Registered in Phoenix, AZ