Mr Jack Philip Nickerson, CRNA - Nurse Anesthetist, Certified Registered in Grand Rapids, MI

Mr Jack Philip Nickerson, CRNA is a Nurse Anesthetist, Certified Registered based in Grand Rapids, Michigan. Mr Jack Philip Nickerson is licensed to practice in Michigan (license number 4704234290) and his current practice location is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 364-4200.

NPI number for Mr Jack Philip Nickerson is 1447262548 and his current mailing address is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447262548.

Contact Information

Mr Jack Philip Nickerson, CRNA
3333 Evergreen Dr Ne,
Grand Rapids, MI 49525-9756
(616) 364-4200
(616) 364-7347

Map and Direction




Provider's Profile

Full NameMr Jack Philip Nickerson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3333 Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447262548
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 08/30/2010

Medical Identifiers

Medical identifiers for Mr Jack Philip Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447262548NPI-NPPES
4612272MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704234290 (Michigan)Primary

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. Mr Jack Philip Nickerson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jack Philip Nickerson, CRNA
3333 Evergreen Dr Ne,
Grand Rapids, MI 49525-9756

Ph: (616) 364-4200
Mr Jack Philip Nickerson, CRNA
3333 Evergreen Dr Ne,
Grand Rapids, MI 49525-9756

Ph: (616) 364-4200

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Grand Rapids, MI

Anne Marie Talbot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-6063    Fax: 616-685-3092
Mrs. Lindsay E Mckelvey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Ms. Majerle Bunce, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Mrs. Heather M Montgomery-kanitz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Courtney Kolanowski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-5000    
Mr. Patrick James Evans, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Mr. Brent Zukoff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-1774    

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).

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