| Nicholas Glen Livingston, | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 532-9661 | |
| Not Available |
| Full Name | Nicholas Glen Livingston |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 300 S Bruce St, Marshall, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932600970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R035316 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2208 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Marshall | 5799695227 | 78 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20031103000411 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Glen Livingston, 506 Continental St, Marshall, MN 56258-5548 Ph: (605) 661-0689 | Nicholas Glen Livingston, 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 532-9661 |
Mr. Richard John Jueneman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9114 Fax: 507-537-9272 | |
Jason D Klein, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1521 Carlson St, Marshall, MN 56258 Phone: 507-532-1901 | |
Annie Marie Molseed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 | |
Wendy A Vanderkooi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9114 Fax: 507-537-2757 | |
Kaci Rainey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 | |
Kyle Wong, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 | |
Mr. Kevin Warren Peterson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 |