Aiya Christina Wommack, RN in Longview, TX - Medicare Nurse Anesthetist, Certified Registered

Aiya Christina Wommack, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Longview, Texas. Her current practice location is 2901 4th St, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 758-1818.

Aiya Christina Wommack is licensed to practice in Texas (license number 1089179) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598418899.

Contact Information

	Aiya Christina Wommack, RN
	2901 4th St, Longview, TX 75605-5128
	(903) 758-1818
	Not Available

Map and Direction

Provider's Profile

Full Name	Aiya Christina Wommack
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2901 4th St, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598418899
Provider Enumeration Date: 01/27/2022
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8527432368
Enrollment ID: I20230320000317

Medical Identifiers

Medical identifiers for Aiya Christina Wommack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598418899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	102817 (West Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1089179 (Texas)	Primary

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. Aiya Christina Wommack allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Aiya Christina Wommack 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
Aiya Christina Wommack, RN 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001	Aiya Christina Wommack, RN 2901 4th St, Longview, TX 75605-5128 Ph: (903) 758-1818

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Longview, TX

William W. Burlingame, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1907 Warwick Circle East, Longview, TX 75601 Phone: 903-757-4453
Richard Klima, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Eric Fernandez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6580 Judson Rd, Longview, TX 75605 Phone: 903-663-3600
Randall Wayne Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 906 Judson Rd, Longview, TX 75601 Phone: 903-331-0506 Fax: 903-331-0462
Mark D Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3606 Fax: 903-593-4290
John Ryan Mccubbin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 140 Timber Falls Dr, Longview, TX 75605 Phone: 903-297-8640
Kristy Dupus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6580 Judson Rd, Longview, TX 75605 Phone: 800-939-7440

Aiya Christina Wommack, RN - Medicare Nurse Anesthetist, Certified Registered in Longview, TX