| Anna Nikachina, MD, PHD | |
|
1801 Orange Tree Ln, Suite 200, Redlands, CA 92374-4589 | |
| (909) 557-1600 | |
| (909) 557-1732 |
| Full Name | Anna Nikachina |
|---|---|
| Gender | Female |
| Speciality | Pain Management |
| Experience | 28 Years |
| Location | 1801 Orange Tree Ln, Redlands, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811284102 | NPI | - | NPPES |
| FX956A | Other | CA | GROUP MEDICARE PTAN |
| 1811284102 | Medicaid | ME | |
| ZZZ29537Z | Other | CA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD19174 (Maine) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A120159 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tobias Moeller-bertram Md Corporation | 1456586064 | 29 |
| San Bernardino Medical Orthopaedic Group Inc | 9335045228 | 80 |
| Entity Name | San Bernardino Medical Orthopaedic Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336187475 PECOS PAC ID: 9335045228 Enrollment ID: O20040303001330 |
| Entity Name | Tobias Moeller-bertram Md Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Nikachina, MD, PHD 1901 W Lugonia Ave, Suite 100, Redlands, CA 92374-9703 Ph: (909) 557-1600 | Anna Nikachina, MD, PHD 1801 Orange Tree Ln, Suite 200, Redlands, CA 92374-4589 Ph: (909) 557-1600 |
Ms. Stacye L Basye, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 245 Terracina Blvd, Suite Number 105, Redlands, CA 92373 Phone: 909-792-9737 Fax: 909-793-6978 | |
Anirudh Kadambi, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1801 Orange Tree Ln, Suite 200, Redlands, CA 92374 Phone: 909-557-1600 Fax: 909-557-1732 | |
Jimfry Lin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 25864 Business Center Dr Ste C, Redlands, CA 92374 Phone: 909-796-7700 Fax: 909-796-4384 | |
Dr. Jonathan K. Lee, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 547 Shadowbrook Ct, Redlands, CA 92374 Phone: 909-645-1986 Fax: 909-335-5767 | |
Charity Penaloza Russell, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-894-7938 | |
Nay Lin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 700 E Highland Ave, Redlands, CA 92374 Phone: 909-793-2678 |