| Derek Neice, | |
|
315 Hospital Dr, Madison, TN 37115-5030 | |
| (703) 595-5207 | |
| Not Available |
| Full Name | Derek Neice |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 315 Hospital Dr, Madison, Tennessee |
| 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 |
|---|---|---|---|
| 1457014862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 212385 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0101671-C-CRNA (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Colorado Anesthesia Professionals Pllc | 6800878760 | 140 |
| Entity Name | Northern Colorado Anesthesia Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Neice, 1605 54th Ave N Apt 313, Nashville, TN 37209-1588 Ph: (703) 595-5207 | Derek Neice, 315 Hospital Dr, Madison, TN 37115-5030 Ph: (703) 595-5207 |
Steven L. Beaty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1994 Gallatin Pike N, Suite 202, Madison, TN 37115 Phone: 615-851-0001 Fax: 615-851-0021 | |
Henry Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Alexa Roche, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503 | |
William Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Cecil Fuller Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-868-6503 | |
Troy Sasser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 | |
Thomas Coghlan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 154 Cude Ln, Madison, TN 37115 Phone: 615-865-6268 Fax: 615-868-7378 |