| Kerman Nickel, CRNA | |
|
2900 S 70th St Ste 450, Lincoln, NE 68506-3796 | |
| (402) 489-4186 | |
| (402) 489-5279 |
| Full Name | Kerman Nickel |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2900 S 70th St Ste 450, Lincoln, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194117754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 63870 (Nebraska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101312 (Nebraska) | Primary |
| Entity Name | Lighthouse Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285237750 PECOS PAC ID: 4789096595 Enrollment ID: O20201221001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerman Nickel, CRNA 2900 S 70th St Ste 450, Lincoln, NE 68506-3796 Ph: (402) 489-4186 | Kerman Nickel, CRNA 2900 S 70th St Ste 450, Lincoln, NE 68506-3796 Ph: (402) 489-4186 |
Emily Noel Stutzman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 555 S 70th St, Lincoln, NE 68510 Phone: 402-219-8000 | |
Matthew C. Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6911 Van Dorn St Ste 2, Lincoln, NE 68506 Phone: 402-489-4186 Fax: 402-489-5279 | |
Eric Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 S 70th Street, Suite # 450, Lincoln, NE 68506 Phone: 402-489-4186 Fax: 402-489-5279 | |
Hillary Marie Bonin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 S 70th St Ste 305, Lincoln, NE 68510 Phone: 402-434-5600 Fax: 402-434-5601 | |
Clark Jackson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 S 60th St Apt 21, Lincoln, NE 68506 Phone: 402-613-2633 | |
Priscilla Boyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 S 70th St Ste 305, Lincoln, NE 68510 Phone: 402-434-5600 Fax: 402-434-5601 | |
Carl C Blackwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5701 Lillibridge St Apt 10, Lincoln, NE 68506 Phone: 607-349-9774 |