| Dr Michael David Nickerson Jr, MD | |
|
2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310-7394 | |
| (910) 908-2318 | |
| Not Available |
| Full Name | Dr Michael David Nickerson Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 2817 Rock Merritt Ave Stop A, Fort Liberty, North Carolina |
| 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 |
|---|---|---|---|
| 1790927671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | Q4227 (Texas) | Secondary |
| 207L00000X | Anesthesiology | 0101246915 (Virginia) | Secondary |
| 207L00000X | Anesthesiology | 2019-02595 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael David Nickerson Jr, MD 2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310-0001 Ph: (910) 907-8707 | Dr Michael David Nickerson Jr, MD 2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310-7394 Ph: (910) 908-2318 |
Amy Heniger, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Dr. Joseph Frankie Feliciano, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Womack Army Medical Center 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-6000 | |
Anthony Plunkett, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-7668 |