Tyson Ryley Nickelson, | |
200 Research Dr, Manhattan, KS 66503-3049 | |
(785) 539-4644 | |
Not Available |
Full Name | Tyson Ryley Nickelson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 200 Research Dr, Manhattan, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972194751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 53-79960-011 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Via Christi Hospital Manhattain, Inc | Manhattan, KS | Hospital |
Geary Community Hospital | Junction city, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Manhattan Medical Group Llc | 3870742505 | 8 |
Entity Name | Manhattan Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609138387 PECOS PAC ID: 3870742505 Enrollment ID: O20121012000345 |
Mailing Address | Practice Location Address |
---|---|
Tyson Ryley Nickelson, 3517 Churchill Way, Manhattan, KS 66503-0384 Ph: (785) 236-9632 | Tyson Ryley Nickelson, 200 Research Dr, Manhattan, KS 66503-3049 Ph: (785) 539-4644 |
Crystal Lynn Hathorne, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Poyntz Ave, Manhattan, KS 66502 Phone: 785-320-7331 | |
Berdine K Eby, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1133 College Ave, Bldg. E-210, Manhattan, KS 66502 Phone: 785-537-1414 Fax: 785-537-0623 | |
Jennifer Peterson, APRN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 S Seth Child Rd, Manhattan, KS 66502 Phone: 785-776-2813 Fax: 785-776-2851 | |
Coralee Marie Gehrt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Research Park Dr, Manhattan, KS 66502 Phone: 785-537-2651 | |
Quincie Keesecker, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2331 Tuttle Creek Blvd, Manhattan, KS 66502 Phone: 785-537-4940 Fax: 785-537-0836 | |
Sarah O Hougland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1620 Charles Pl, Manhattan, KS 66502 Phone: 785-458-9128 | |
Mr. Savinien Siewe, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 Claflin Rd, Manhattan, KS 66502 Phone: 785-587-4300 |