Mr Nickolas K Willard, CRNA in Scottsdale, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Nickolas K Willard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scottsdale, Arizona. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Amsurg North Valley Anesthesia Llc and his current practice location is 13400 E Shea Blvd, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 301-8000.

Mr Nickolas K Willard is licensed to practice in Arizona (license number CRNA1186) 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 1073816237.

Contact Information

	Mr Nickolas K Willard, CRNA
	13400 E Shea Blvd, Scottsdale, AZ 85259-5452
	(480) 301-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Nickolas K Willard
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	13400 E Shea Blvd, Scottsdale, Arizona
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 K Willard graduated from nursing school in 2012

NPI Data:

NPI Number: 1073816237
Provider Enumeration Date: 12/09/2010
Last Update Date: 04/24/2018

Medicare PECOS Information:

PECOS PAC ID: 8426295031
Enrollment ID: I20160412001430

Medical Identifiers

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

Identifier	Type	State	Issuer
1073816237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209010303 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA1186 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amsurg North Valley Anesthesia Llc	7416121447	5

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 K Willard allows following entities to bill medicare on his behalf.

Entity Name	North Valley Endoscopy Center Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1043239338 PECOS PAC ID: 0446254916 Enrollment ID: O20060914000512

Entity Name	Amsurg North Valley Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629351788 PECOS PAC ID: 7416121447 Enrollment ID: O20111130000888

Entity Name	Trojan Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750817300 PECOS PAC ID: 4981976206 Enrollment ID: O20170822002500

Entity Name	Virtuous Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881168656 PECOS PAC ID: 6406275692 Enrollment ID: O20201008000820

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 K Willard 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 K Willard, CRNA 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: (480) 301-8000	Mr Nickolas K Willard, CRNA 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: (480) 301-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Scottsdale, AZ

Brett Theodore Tolpa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Gina Munson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Michael Moskowitz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Christopher David Hess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Edna Kemboi, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 Fax: 904-953-0115
Paul Jordan Stievo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E. Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Gertrude F Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251 Phone: 239-000-0000

Mr Nickolas K Willard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Scottsdale, AZ