Richard Lee Nikkel, CRNA | |
2282 E Pinetree Blvd, Thomasville, GA 31792-4807 | |
(229) 228-4988 | |
(229) 226-5859 |
Full Name | Richard Lee Nikkel |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2282 E Pinetree Blvd, Thomasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538191465 | NPI | - | NPPES |
430062644 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN072148 (Georgia) | Primary |
Entity Name | South Georgia Anesthesia Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285605733 PECOS PAC ID: 1759349830 Enrollment ID: O20041221000350 |
Mailing Address | Practice Location Address |
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Richard Lee Nikkel, CRNA 116 Harrogate Ln, Thomasville, GA 31792-8727 Ph: (229) 227-1928 | Richard Lee Nikkel, CRNA 2282 E Pinetree Blvd, Thomasville, GA 31792-4807 Ph: (229) 228-4988 |
Gary Daviduk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Mr. William Ralph Alday, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 | |
John Lee Allen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 334-279-1450 Fax: 334-395-4110 | |
Caroline Harrison, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Stacie N. Persing, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Ms. Anita C Terry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Avenue, Thomasville, GA 31792 Phone: 229-551-1883 | |
Alex T Harbin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 |