| Nicole Siyem, | |
|
1310 Havenbrook Dr, Nashville, TN 37207-2651 | |
| (240) 899-3479 | |
| Not Available |
| Full Name | Nicole Siyem |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1310 Havenbrook Dr, Nashville, Tennessee |
| 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 |
|---|---|---|---|
| 1497421143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000248999 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN0000031474 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| T J Samson Community Hospital | Glasgow, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Medical Group, P.c. | 6901702307 | 388 |
| T J Samson Community Hospital | 0648182600 | 136 |
| Entity Name | Anesthesia Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
| Entity Name | Knoxville Gastroenterology Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356717227 PECOS PAC ID: 8325357155 Enrollment ID: O20151019001298 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Siyem, 3035 Sapgate Ln, Nashville, TN 37207-3084 Ph: (240) 899-3479 | Nicole Siyem, 1310 Havenbrook Dr, Nashville, TN 37207-2651 Ph: (240) 899-3479 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Mr. Timothy Bulso, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Hannah Ballinger, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Evan Russell Parkinson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 |