Ewell Nichols Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ellsworth, ME

Ewell Nichols Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ellsworth, Maine. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midwest Anesthesia Providers Sc and his current practice location is 50 Union Street, Ellsworth, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 664-5304.

Ewell Nichols Jr is licensed to practice in Maine (license number R042011) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275603979.

Contact Information

Ewell Nichols Jr, CRNA
50 Union Street,
Ellsworth, ME 04605-1586
(207) 664-5304
(207) 664-5305



Provider's Profile

Full NameEwell Nichols Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience24 Years
Location50 Union Street, Ellsworth, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ewell Nichols Jr graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1275603979
  • Provider Enumeration Date: 11/09/2006
  • Last Update Date: 12/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0840223947
  • Enrollment ID: I20090304000551

Medical Identifiers

Medical identifiers for Ewell Nichols Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275603979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R042011 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barnes-jewish St Peters HospitalSaint peters, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Anesthesia Providers Sc9830480581139

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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. Ewell Nichols Jr allows following entities to bill medicare on his behalf.
Entity NameMetro-west Anesthesia Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245427335
PECOS PAC ID: 2163329921
Enrollment ID: O20031218000563

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Entity NameMidwest Anesthesia Providers Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295189082
PECOS PAC ID: 9830480581
Enrollment ID: O20160712001846

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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. Ewell Nichols Jr 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 AddressPractice Location Address
Ewell Nichols Jr, CRNA
50 Union Street,
Ellsworth, ME 04605-1586

Ph: (207) 664-5304
Ewell Nichols Jr, CRNA
50 Union Street,
Ellsworth, ME 04605-1586

Ph: (207) 664-5304

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Nurse Anesthetist, Certified Registered Nurses in Ellsworth, ME

Elizabeth Mccann, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 50 Union Street, Ellsworth, ME 04605
Phone: 207-664-5304    Fax: 207-664-5305
Enid M. Cox, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605
Phone: 207-664-5304    Fax: 207-664-5305
Mr. James Howard Mackey Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 50 Union St, Ellsworth, ME 04605
Phone: 207-664-5311    Fax: 207-664-5305
Mary Elizabeth Talley, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605
Phone: 207-664-5304    Fax: 207-664-5305

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