| Mrs Denise E Nichols, CRNA | |
|
1465 County Road 365, Crane Hill, AL 35053-4038 | |
| (256) 590-3613 | |
| (256) 747-2262 |
| Full Name | Mrs Denise E Nichols |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 1465 County Road 365, Crane Hill, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477505295 | NPI | - | NPPES |
| 306034900 | Medicaid | FL | |
| P00197074 | Other | PALMETTO GBA-RR MEDICARE | |
| 009931961 | Medicaid | AL | |
| G3398 | Other | FL | BCBS |
| 59200186 | Other | AL | BCBS |
| 59200187 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9204451 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-071048 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highlands Medical Center | Scottsboro, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highlands Anesthesia Services | 3678941424 | 11 |
| Huntsville Hospital Anesthesia | 7315990751 | 150 |
| Entity Name | Robert W Nesbitt Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588731269 PECOS PAC ID: 7012819436 Enrollment ID: O20040124000315 |
| Entity Name | Huntsville Anesthesiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073661492 PECOS PAC ID: 0749171262 Enrollment ID: O20040323001826 |
| Entity Name | Huntsville Hospital Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851321079 PECOS PAC ID: 7315990751 Enrollment ID: O20050225000538 |
| Entity Name | Crna Services Of Dgh |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306088471 PECOS PAC ID: 2466502455 Enrollment ID: O20090612000442 |
| Entity Name | Cullman Regional Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326507013 PECOS PAC ID: 1456694082 Enrollment ID: O20190522000608 |
| Entity Name | Cullman Regional Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982163671 PECOS PAC ID: 2466785712 Enrollment ID: O20190531001548 |
| Entity Name | Usa Health Anesthesia Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Denise E Nichols, CRNA 1465 County Road 365, Crane Hill, AL 35053-4038 Ph: (256) 590-3613 | Mrs Denise E Nichols, CRNA 1465 County Road 365, Crane Hill, AL 35053-4038 Ph: (256) 590-3613 |