Nicole Soraya Nouwairi, CRNA in Loves Park, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Nicole Soraya Nouwairi, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Loves Park, Illinois. She went to Virginia Commonwealth University, School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesiology Of Marquette, P.c. and her current practice location is 2202 Harlem Road, Loves Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 877-4848.

Nicole Soraya Nouwairi is licensed to practice in Illinois (license number 209013378) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760559207.

Contact Information

	Nicole Soraya Nouwairi, CRNA
	2202 Harlem Road, Loves Park, IL 61111-2754
	(815) 877-4848
	(815) 636-6125

Map and Direction

Provider's Profile

Full Name	Nicole Soraya Nouwairi
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	2202 Harlem Road, Loves Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Soraya Nouwairi attended and graduated from Virginia Commonwealth University, School Of Medicine in 2004

NPI Data:

NPI Number: 1760559207
Provider Enumeration Date: 11/29/2006
Last Update Date: 12/05/2019

Medicare PECOS Information:

PECOS PAC ID: 1850330499
Enrollment ID: I20210108000188

Medical Identifiers

Medical identifiers for Nicole Soraya Nouwairi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760559207	NPI	-	NPPES
85154U	Other	TX	BLUE CROSS PROVIDER ID
173674601	Medicaid	TX
P00225343	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209013378 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marquette General Hospital	Marquette, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesiology Of Marquette, P.c.	6103851712	26

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. Nicole Soraya Nouwairi allows following entities to bill medicare on her behalf.

Entity Name	Anesthesiology Of Marquette, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225039639 PECOS PAC ID: 6103851712 Enrollment ID: O20051003000636

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. Nicole Soraya Nouwairi 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
Nicole Soraya Nouwairi, CRNA 2202 Harlem Road, Loves Park, IL 61111-2754 Ph: (815) 877-4848	Nicole Soraya Nouwairi, CRNA 2202 Harlem Road, Loves Park, IL 61111-2754 Ph: (815) 877-4848

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Loves Park, IL

Kathleen M. Schroeder, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Mr. Lowell S. Wills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Road, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125
Ronald J. Frenk, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Malynnda A. Mueller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Justin Erik Utley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125
Paula M. Dobrowolska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342
Joni D. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342

Nicole Soraya Nouwairi, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Loves Park, IL