| Ewell Nichols Jr, CRNA | |
|
50 Union Street, Ellsworth, ME 04605-1586 | |
| (207) 664-5304 | |
| (207) 664-5305 |
| Full Name | Ewell Nichols Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 50 Union Street, Ellsworth, Maine |
| 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 |
|---|---|---|---|
| 1275603979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R042011 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Providers Sc | 9830480581 | 148 |
| Entity Name | Metro-west Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
| 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: O20160712001846 |
| Mailing Address | Practice Location Address |
|---|---|
| Ewell Nichols Jr, CRNA 50 Union Street, Ellsworth, ME 04605-1586 Ph: (207) 664-5304 | Ewell Nichols Jr, CRNA 50 Union Street, Ellsworth, ME 04605-1586 Ph: (207) 664-5304 |
Elizabeth Mccann, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Union Street, Ellsworth, ME 04605 Phone: 207-664-5304 Fax: 207-664-5305 | |
Enid M. Cox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605 Phone: 207-664-5304 Fax: 207-664-5305 | |
Mr. James Howard Mackey Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 50 Union St, Ellsworth, ME 04605 Phone: 207-664-5311 Fax: 207-664-5305 | |
Mary Elizabeth Talley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605 Phone: 207-664-5304 Fax: 207-664-5305 |