Nicholas Novak, CRNA in Tahlequah, OK - Medicare Nurse Anesthetist, Certified Registered

Nicholas Novak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tahlequah, Oklahoma. His current practice location is 1400 E Downing St, Tahlequah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 456-0641.

Nicholas Novak is licensed to practice in Oklahoma (license number 211723) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790482917.

Contact Information

	Nicholas Novak, CRNA
	1400 E Downing St, Tahlequah, OK 74464-3324
	(918) 456-0641
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Novak
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1400 E Downing St, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790482917
Provider Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7315312303
Enrollment ID: I20230404002938

Medical Identifiers

Medical identifiers for Nicholas Novak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790482917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	211723 (Oklahoma)	Primary

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. Nicholas Novak allows following entities to bill medicare on his behalf.

Entity Name	Northeastern Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250

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. Nicholas Novak 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
Nicholas Novak, CRNA 1224 E 29th St, Tulsa, OK 74114-3907 Ph: (918) 713-1381	Nicholas Novak, CRNA 1400 E Downing St, Tahlequah, OK 74464-3324 Ph: (918) 456-0641

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tahlequah, OK

Emmanuel Samedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3115
Alicia L Clingan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
David Alan Forsythe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
William George Worthington, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
Sean Wayne Poe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3115 Fax: 918-458-3511
Teresa Lynn Toombs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-453-2148

Nicholas Novak, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tahlequah, OK