| Nickolas Rose, | |
|
6606 Lbj Fwy, Suite 200, Dallas, TX 75240 | |
| (972) 715-5000 | |
| (972) 715-9976 |
| Full Name | Nickolas Rose |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 6606 Lbj Fwy, Dallas, Texas |
| 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 |
|---|---|---|---|
| 1568868867 | NPI | - | NPPES |
| 8582UJ | Other | TX | BCBS |
| 343604001 | Medicaid | TX | |
| P01446741 | Other | TX | RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP127202 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Haskell Memorial Hospital | Haskell, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rose Anesthesia Pllc | 9133566516 | 2 |
| Entity Name | Mesquite Professional Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831209949 PECOS PAC ID: 0749263812 Enrollment ID: O20040610000058 |
| Entity Name | Kikkeri International Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104937218 PECOS PAC ID: 1254359938 Enrollment ID: O20051110000987 |
| Entity Name | Nocona Medical Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750501417 PECOS PAC ID: 3072661354 Enrollment ID: O20110209000209 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Rose Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295590586 PECOS PAC ID: 9133566516 Enrollment ID: O20240320003790 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickolas Rose, Po Box 650865, Dallas, TX 75265-0865 Ph: (972) 715-5000 | Nickolas Rose, 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Ph: (972) 715-5000 |
Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000 | |
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850 | |
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976 | |
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 |