| Jeremy Michael Nicoski, | |
|
500 Campus Dr, Hancock, MI 49930-1452 | |
| (906) 483-1516 | |
| Not Available |
| Full Name | Jeremy Michael Nicoski |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 500 Campus Dr, Hancock, Michigan |
| 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 |
|---|---|---|---|
| 1336786078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704334699 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Keweenaw Hospital And Clinics | Laurium, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Keweenaw | 8123912011 | 74 |
| Entity Name | Aspirus Keweenaw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
| Entity Name | Saginaw Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205083615 PECOS PAC ID: 5890855019 Enrollment ID: O20081210000101 |
| Entity Name | Portage Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Michael Nicoski, 1922 Whippoorwill Way, Sartell, MN 56377-4706 Ph: (320) 493-1477 | Jeremy Michael Nicoski, 500 Campus Dr, Hancock, MI 49930-1452 Ph: (906) 483-1516 |
Michael Conrad Salmi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Timothy Andress, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1356 Fax: 906-483-1320 | |
Brian L Brant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1122 | |
Louis A Dubois, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1355 Fax: 906-483-1320 | |
Kristen Tweedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 Fax: 906-483-1270 |