Robert Daniel Nicholas Iii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Suisun City, California. His current practice location is
1781 Stoneman Dr, Suisun City, California. You can reach out to his office (for appointments etc.) via phone at
(678) 699-1559.
Robert Daniel Nicholas Iii is licensed to practice in California (license number 95002292) 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 1366012361.
Provider's Profile
| Full Name | Robert Daniel Nicholas Iii |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1781 Stoneman Dr, Suisun City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366012361
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971944091
- Enrollment ID: I20240507002983
Medical Identifiers
Medical identifiers for Robert Daniel Nicholas Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366012361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN225769 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95002292 (California) | 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. Robert Daniel Nicholas Iii allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Anesthesia Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720543762
PECOS PAC ID: 4880936145
Enrollment ID: O20190507001500 |
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| Entity Name | Valley Regional Anesthesia Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20230120001928 |
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| Entity Name | Green Anesthesia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457039331
PECOS PAC ID: 6103270566
Enrollment ID: O20231004000338 |
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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. Robert Daniel Nicholas Iii 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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Robert Daniel Nicholas Iii, CRNA
1781 Stoneman Dr,
Suisun City, CA 94585-3218
Ph: (678) 699-1559 | Robert Daniel Nicholas Iii, CRNA
1781 Stoneman Dr,
Suisun City, CA 94585-3218
Ph: (678) 699-1559 |
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