| Dr Kimberly Marie Nicol, DO | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 704-8419 | |
| Not Available |
| Full Name | Dr Kimberly Marie Nicol |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 14 Years |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| 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 |
|---|---|---|---|
| 1316236342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101019270 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300 |
| Entity Name | Henry Ford West Bloomfield Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Marie Nicol, DO 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: () - | Dr Kimberly Marie Nicol, DO 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 704-8419 |
Mousab Eteer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Chisaokwu Duru, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233 | |
Dr. Puja Laroia, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-5146 | |
Dr. Daniel S Rana, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Dr. Samir F Fuleihan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Dr. Srilatha Mallu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-4872 | |
Muthuvasuki Veerappan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7733 E Jefferson Ave, Detroit, MI 48214 Phone: 313-499-4254 |