Susan Mary Nickerson, - Medicare Nurse Anesthetist, Certified Registered in Corte Madera, CA

  1. Home
  2. Nurse Anesthetist - CR
  3. CA
  4. Corte Madera
Susan Mary Nickerson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Corte Madera, California. Her current practice location is 239 Koch Rd, Corte Madera, California. You can reach out to her office (for appointments etc.) via phone at (310) 294-4441.

Susan Mary Nickerson is licensed to practice in California (license number NA3728) 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 1811163884.

Contact Information

Susan Mary Nickerson,
239 Koch Rd,
Corte Madera, CA 94925
(310) 294-4441
Not Available

Map and Direction




Provider's Profile

Full NameSusan Mary Nickerson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location239 Koch Rd, Corte Madera, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811163884
  • Provider Enumeration Date: 04/30/2008
  • Last Update Date: 12/23/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9133285463
  • Enrollment ID: I20090311000386

Medical Identifiers

Medical identifiers for Susan Mary Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811163884NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA3728 (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. Susan Mary Nickerson allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameGastroenterology Associates Endoscopy Center, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1114922192
PECOS PAC ID: 6002714136
Enrollment ID: O20031226000273
Entity NameUniversity Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528137296
PECOS PAC ID: 2769370535
Enrollment ID: O20040304001219
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameAmsurg Marin Anesthesia Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972929925
PECOS PAC ID: 7214160191
Enrollment ID: O20140603000058

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. Susan Mary Nickerson 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 AddressPractice Location Address
Susan Mary Nickerson,
239 Koch Rd,
Corte Madera, CA 94925-1265

Ph: (415) 892-8115		Susan Mary Nickerson,
239 Koch Rd,
Corte Madera, CA 94925

Ph: (310) 294-4441

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Corte Madera, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.