| Nicole Lynn Wickoren, CRNA | |
|
7820 W 165th St, Overland Park, KS 66223-2925 | |
| (913) 373-2000 | |
| (913) 428-2951 |
| Full Name | Nicole Lynn Wickoren |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 7820 W 165th St, Overland Park, Kansas |
| 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 |
|---|---|---|---|
| 1104448943 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Medical Center | Blue springs, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Missouri Llc | 4082908249 | 83 |
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 218 |
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 218 |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lynn Wickoren, CRNA 8717 W 110th St Ste 600, Overland Park, KS 66210-2126 Ph: (913) 428-2900 | Nicole Lynn Wickoren, CRNA 7820 W 165th St, Overland Park, KS 66223-2925 Ph: (913) 373-2000 |
Gay Ann Colliton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 | |
Sonya Jurgens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 Fax: 913-428-2951 | |
Carol Lynn Russell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 200, Overland Park, KS 66211 Phone: 913-491-3040 | |
Reed Tenney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 | |
Mrs. Valerie Lynn Wilen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 816-763-5446 | |
Alexis Zecy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10203 Bond St, Overland Park, KS 66214 Phone: 913-522-1114 | |
Ann Squire, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 |