Paul Wendell Nicholson, CRNA in Twin Falls, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Paul Wendell Nicholson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Twin Falls, Idaho. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Lukes Clinic - Wood River Llc and his current practice location is 201 Canyon Crest Dr, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 734-7362.

Paul Wendell Nicholson is licensed to practice in Idaho (license number 69350) 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 1265997985.

Contact Information

	Paul Wendell Nicholson, CRNA
	201 Canyon Crest Dr, Twin Falls, ID 83301-5934
	(208) 734-7362
	Not Available

Map and Direction

Provider's Profile

Full Name	Paul Wendell Nicholson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	201 Canyon Crest Dr, Twin Falls, Idaho
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:

Paul Wendell Nicholson graduated from nursing school in 2018

NPI Data:

NPI Number: 1265997985
Provider Enumeration Date: 02/06/2019
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9436499795
Enrollment ID: I20220118000300

Medical Identifiers

Medical identifiers for Paul Wendell Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265997985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	8752157-4406 (Utah)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	69350 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Wood River Medical Center	Ketchum, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic - Wood River Llc	3173783818	54

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. Paul Wendell Nicholson allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic - Wood River Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474

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. Paul Wendell Nicholson 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
Paul Wendell Nicholson, CRNA 201 Canyon Crest Dr Ste 100, Twin Falls, ID 83301-5935 Ph: () -	Paul Wendell Nicholson, CRNA 201 Canyon Crest Dr, Twin Falls, ID 83301-5934 Ph: (208) 734-7362

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Twin Falls, ID

Mr. Chet Dansie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Daniel Scott Johnson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-814-0948
Brendan Petersen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
John Brandon Cory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Robert Kinghorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Falls Ave W, Twin Falls, ID 83301 Phone: 208-734-7362 Fax: 208-733-9463
David A White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 Fax: 208-814-7528
Jason Rojas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2400

Paul Wendell Nicholson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Twin Falls, ID