Broc Nichelson, in Toledo, OH - Medicare Certified Registered Nurse Anesthetist (crna)

Broc Nichelson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Toledo, Ohio. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Promedica Central Physicians, Southwest Ohio Anesthesia Consultants Llc and his current practice location is 2142 N Cove Blvd, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 291-4491.

Broc Nichelson is licensed to practice in Ohio (license number APRN.CRNA.16984) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154711497.

Contact Information

	Broc Nichelson,
	2142 N Cove Blvd, Toledo, OH 43606-3895
	(419) 291-4491
	(419) 479-6905

Map and Direction

Provider's Profile

Full Name	Broc Nichelson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	2142 N Cove Blvd, Toledo, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Broc Nichelson graduated from nursing school in 2014

NPI Data:

NPI Number: 1154711497
Provider Enumeration Date: 01/26/2015
Last Update Date: 04/05/2021

Medicare PECOS Information:

PECOS PAC ID: 2961727607
Enrollment ID: I20150220001702

Medical Identifiers

Medical identifiers for Broc Nichelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154711497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN.CRNA.16984 (Ohio)	Primary
367500000X	Nurse Anesthetist, Certified Registered	16984-NA (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital
Mercy Health - Defiance Hospital	Defiance, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Central Physicians	2365348190	818
Southwest Ohio Anesthesia Consultants Llc	6901700640	363

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. Broc Nichelson allows following entities to bill medicare on his behalf.

Entity Name	Southwest Ohio Anesthesia Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

Entity Name	Ohio Anesthesia Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069

Entity Name	Northern Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821498650 PECOS PAC ID: 2567682073 Enrollment ID: O20141006000980

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. Broc Nichelson 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
Broc Nichelson, 333 N Summit St Fl 7, Toledo, OH 43604-1531 Ph: () -	Broc Nichelson, 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 291-4491

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Toledo, OH

Mr. John Scribner, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4452 Cullen Ln, Toledo, OH 43611 Phone: 419-215-6511
Lyndsay Brentlinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-531-8808 Fax: 419-531-9342
Gregory Halstead, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4524 Fax: 419-245-6018
Ms. Jamie L Nash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-471-4491 Fax: 419-479-6905
Christine Sophia Harwood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232
Kellyn A Diller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4491 Fax: 419-479-6905
Stacey Rissman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232

Broc Nichelson, - Medicare Certified Registered Nurse Anesthetist (crna) in Toledo, OH