Dr Robert Daniel Nicholas Iii, CRNA is a
Nurse Anesthetist, Certified Registered based in Suisun City, California. Dr Robert Daniel Nicholas Iii is licensed to practice in California (license number 95002292) and his current practice location is
1781 Stoneman Dr, Suisun City, California. He can be reached at his office (for appointments etc.) via phone at
(678) 699-1559.
NPI number for Dr Robert Daniel Nicholas Iii is 1366012361 and his current mailing address is 1781 Stoneman Dr, Suisun City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366012361.
Provider's Profile
Full Name | Dr Robert Daniel Nicholas Iii |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1781 Stoneman Dr, Suisun City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366012361
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 02/10/2024
Medical Identifiers
Medical identifiers for Dr Robert Daniel Nicholas Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366012361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN225769 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002292 (California) | 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. Dr Robert Daniel Nicholas Iii 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 Address | Practice Location Address |
Dr Robert Daniel Nicholas Iii, CRNA 1781 Stoneman Dr, Suisun City, CA 94585-3218 Ph: (678) 699-1559 | Dr Robert Daniel Nicholas Iii, CRNA 1781 Stoneman Dr, Suisun City, CA 94585-3218 Ph: (678) 699-1559 |
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