Elizabeth Lee Nicholson, CRNA in Belleville, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Elizabeth Lee Nicholson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Belleville, Illinois. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Midwest Anesthesia Providers Sc and her current practice location is 3636 N Belt W, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-5050.

Elizabeth Lee Nicholson is licensed to practice in Illinois (license number 209.009368) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417220252.

Contact Information

	Elizabeth Lee Nicholson, CRNA
	3636 N Belt W, Belleville, IL 62226-5947
	(618) 233-5050
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Lee Nicholson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	3636 N Belt W, Belleville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Lee Nicholson graduated from nursing school in 2011

NPI Data:

NPI Number: 1417220252
Provider Enumeration Date: 02/09/2012
Last Update Date: 12/18/2016

Medicare PECOS Information:

PECOS PAC ID: 1658533195
Enrollment ID: I20120430000677

Medical Identifiers

Medical identifiers for Elizabeth Lee Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417220252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.009368 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital	Belleville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Anesthesia Providers Sc	9830480581	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. Elizabeth Lee Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Associates Of Belleville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932141561 PECOS PAC ID: 5890690812 Enrollment ID: O20031203000567

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182

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. Elizabeth Lee Nicholson 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
Elizabeth Lee Nicholson, CRNA 1428 Clifton Way Ct, O Fallon, IL 62269-7394 Ph: (618) 977-3784	Elizabeth Lee Nicholson, CRNA 3636 N Belt W, Belleville, IL 62226-5947 Ph: (618) 233-5050

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Belleville, IL

Allan Schwartz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-641-5810
Alexis Jones, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5972
Bridgette L Peek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Anesthesia Dept, Belleville, IL 62226 Phone: 618-257-2175
Jennifer R Jobe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Belleville, IL 62223 Phone: 618-257-4076
Linda Bennett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28 N 64th St, Belleville, IL 62223 Phone: 314-991-0985 Fax: 908-653-9305
Mrs. Kristin Renee Maberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-4076
Leah D Corbitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Anesthesia Depart Memorial Hospital, Belleville, IL 62226 Phone: 618-257-5162

Elizabeth Lee Nicholson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Belleville, IL