Mr Nicholas Childress, in San Antonio, TX - Medicare Nurse Anesthetist, Certified Registered

Mr Nicholas Childress, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Antonio, Texas. His current practice location is 11212 State Highway 151, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 703-8000.

Mr Nicholas Childress is licensed to practice in Texas (license number 152972) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730941444.

Contact Information

	Mr Nicholas Childress,
	11212 State Highway 151, San Antonio, TX 78251-4498
	(210) 703-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nicholas Childress
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	11212 State Highway 151, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730941444
Provider Enumeration Date: 01/29/2024
Last Update Date: 02/20/2025

Medicare PECOS Information:

PECOS PAC ID: 1254861636
Enrollment ID: I20250214001028

Medical Identifiers

Medical identifiers for Mr Nicholas Childress such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730941444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	970830 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	152972 (Texas)	Primary

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. Mr Nicholas Childress allows following entities to bill medicare on his behalf.

Entity Name	Lone Star Anesthesia Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124760996 PECOS PAC ID: 4880072636 Enrollment ID: O20220607000810

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. Mr Nicholas Childress 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
Mr Nicholas Childress, 14531 Greenfield Ml, San Antonio, TX 78254-4842 Ph: (210) 643-2243	Mr Nicholas Childress, 11212 State Highway 151, San Antonio, TX 78251-4498 Ph: (210) 703-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Antonio, TX

Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000

Mr Nicholas Childress, - Medicare Nurse Anesthetist, Certified Registered in San Antonio, TX