Rayelene R Nicol, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Antioch, California. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Permanente Medical Group Inc and her current practice location is
4501 Sand Creek Rd, Anesthesia Department, Antioch, California. You can reach out to her office (for appointments etc.) via phone at
(925) 295-4000.
Rayelene R Nicol is licensed to practice in California (license number 3622) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720239783.
Provider's Profile
| Full Name | Rayelene R Nicol |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 18 Years |
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| Location | 4501 Sand Creek Rd, Antioch, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rayelene R Nicol graduated from nursing school in 2007
NPI Data:
- NPI Number: 1720239783
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931260494
- Enrollment ID: I20081203000347
Medical Identifiers
Medical identifiers for Rayelene R Nicol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720239783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 3622 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 8867 |
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. Rayelene R Nicol allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Rayelene R Nicol 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 |
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Rayelene R Nicol,
1800 Harrison St Fl 7,
Oakland, CA 94612-3466
Ph: (510) 625-6262 | Rayelene R Nicol,
4501 Sand Creek Rd, Anesthesia Department,
Antioch, CA 94531-8687
Ph: (925) 295-4000 |
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