Miss Nicole Brase, SRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Iowa City, Iowa. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Clinical Colleagues Inc and her current practice location is
1415 Ridge St, Iowa City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(217) 370-3762.
Miss Nicole Brase is licensed to practice in Illinois (license number 209028100) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417362351.
Physician's Profile
| Full Name | Miss Nicole Brase |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 1415 Ridge St, Iowa City, Iowa |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Nicole Brase graduated from medical school in 2016
NPI Data:
- NPI Number: 1417362351
- Provider Enumeration Date: 06/30/2014
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042597858
- Enrollment ID: I20240611002665
Medical Identifiers
Medical identifiers for Miss Nicole Brase such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417362351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 137399 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209028100 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Clinical Colleagues Inc | 8729011333 | 148 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Nicole Brase allows following entities to bill medicare on her behalf.
| Entity Name | Clinical Colleagues Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316399967
PECOS PAC ID: 8729011333
Enrollment ID: O20161006000618 |
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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. Miss Nicole Brase is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Miss Nicole Brase, SRNA
1415 Ridge St,
Iowa City, IA 52240-2720
Ph: (217) 370-3762 | Miss Nicole Brase, SRNA
1415 Ridge St,
Iowa City, IA 52240-2720
Ph: (217) 370-3762 |
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