| Mrs Nicole Jean Hennicke, CRNA | |
|
11100 Euclid Ave, Cleveland, OH 44106 | |
| (216) 844-7334 | |
| Not Available |
| Full Name | Mrs Nicole Jean Hennicke |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 11100 Euclid Ave, Cleveland, Ohio |
| 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 |
|---|---|---|---|
| 1396040432 | NPI | - | NPPES |
| RN.323311 | Other | OH | LICENSE |
| 3142843 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.323311 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marymount Hospital | Garfield heights, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Jean Hennicke, CRNA 24700 Euclid Ave, Euclid, OH 44117 Ph: (216) 383-6614 | Mrs Nicole Jean Hennicke, CRNA 11100 Euclid Ave, Cleveland, OH 44106 Ph: (216) 844-7334 |
Monica Lynn Shein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Sean O'brien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-6550 | |
Ryan Walukonis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Jessica Zelna, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Ms. Zsuzsanna Hertzfeld, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Mrs. Joyce Alexis Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200 | |
Joyce Ann R Reeves, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 |