| Charles C Nicolette, MD | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (469) 757-1000 | |
| Not Available |
| Full Name | Charles C Nicolette |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 62 Years |
| Location | 500 W 4th St, Odessa, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255357323 | NPI | - | NPPES |
| PENDING | Medicaid | TX | |
| 8F4462 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | E3074 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midland Memorial Hospital | Midland, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Imaging Pa | 4688564586 | 17 |
| Singleton Associates Pa | 6305731118 | 635 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Southwest Medical Imaging Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538134788 PECOS PAC ID: 4688564586 Enrollment ID: O20040316000716 |
| Entity Name | Consultants In Radiology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922034602 PECOS PAC ID: 9931157609 Enrollment ID: O20050110000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C Nicolette, MD Po Box 103, Rockwall, TX 75087-0103 Ph: () - | Charles C Nicolette, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (469) 757-1000 |
Steven Ashlock, M. D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Department Of Radiology, Odessa, TX 79761 Phone: 432-582-8290 Fax: 432-582-8931 | |
Patricia Kay Miller Hamrick, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 970-708-9392 | |
Natausha Glidwell, Radiology Medicare: Not Enrolled in Medicare Practice Location: 850 Tower Dr Ste 111, Odessa, TX 79761 Phone: 432-888-4886 | |
James A Sheehan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1273 Fax: 432-640-4606 | |
George Nader Rodenko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1273 Fax: 432-640-4606 | |
Russell D. Schroeder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1273 Fax: 432-640-4606 |