| Mr John Michael Nulty Jr, CRNA | |
|
142 S Main St, Danville, VA 24541-2922 | |
| (434) 799-2226 | |
| Not Available |
| Full Name | Mr John Michael Nulty Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 142 S Main St, Danville, Virginia |
| 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 |
|---|---|---|---|
| 1437211737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024165660 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greensboro Anesthesia Specialists Inc | 8729129226 | 4 |
| Entity Name | Greensboro Anesthesia Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073772612 PECOS PAC ID: 8729129226 Enrollment ID: O20100106000273 |
| Entity Name | Sicuro Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750102935 PECOS PAC ID: 8527596675 Enrollment ID: O20250116003085 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Michael Nulty Jr, CRNA 212 Winrow Drive, Jamestown, NY 27282 Ph: (336) 324-3116 | Mr John Michael Nulty Jr, CRNA 142 S Main St, Danville, VA 24541-2922 Ph: (434) 799-2226 |
Mr. Charles Denver Gill, C R N A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 | |
Mr. Clark Alfred Powers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 | |
Mrs. Rebecca Lynn Whited, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-4411 | |
Michial James Largen Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2375 | |
Mrs. Nan H Robillard, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2226 |