Mr Nickolas Widener, CRNA in Winston Salem, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Nickolas Widener, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wake Forest University Health Sciences, The Moses H Cone Memorial Hospital Operating Corporation and his current practice location is 3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 406-4343.

Mr Nickolas Widener is licensed to practice in North Carolina (license number 6537) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669063582.

Contact Information

	Mr Nickolas Widener, CRNA
	3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013
	(336) 406-4343
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nickolas Widener
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	3333 Silas Creek Pkwy, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Nickolas Widener graduated from nursing school in 2020

NPI Data:

NPI Number: 1669063582
Provider Enumeration Date: 02/02/2021
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8224447503
Enrollment ID: I20210518000783

Medical Identifiers

Medical identifiers for Mr Nickolas Widener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669063582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	6537 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Moses H. Cone Memorial Hospital, The	Greensboro, NC	Hospital
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2274
The Moses H Cone Memorial Hospital Operating Corporation	6204744600	599

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 Nickolas Widener allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

Entity Name	Triad Sedation Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427528595 PECOS PAC ID: 4587903448 Enrollment ID: O20190312000286

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 Nickolas Widener 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 Nickolas Widener, CRNA 6632 Springfield Village Ln, Clemmons, NC 27012-8986 Ph: (336) 406-4343	Mr Nickolas Widener, CRNA 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 406-4343

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019

Mr Nickolas Widener, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC