Alfred Wong, | |
375 Dixmyth Ave, Cincinnati, OH 45220-2475 | |
(513) 862-1400 | |
Not Available |
Full Name | Alfred Wong |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 375 Dixmyth Ave, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083380752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 249565 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 147189 (Ohio) | Primary |
Entity Name | Anesthesia Group Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20031114000492 |
Mailing Address | Practice Location Address |
---|---|
Alfred Wong, 423 Hoge St Apt 207, Cincinnati, OH 45226-1347 Ph: (513) 292-7363 | Alfred Wong, 375 Dixmyth Ave, Cincinnati, OH 45220-2475 Ph: (513) 862-1400 |
Melissa T Wesley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-872-7385 | |
Lisa Marie Roeder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave., Ml 2001, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229 Phone: 513-636-4408 Fax: 513-636-7337 | |
Katie Dean, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-585-5511 | |
Erik Albers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Mercy Health Blvd, Cincinnati, OH 45211 Phone: 513-215-5000 | |
Andrea Chicovic Mehal, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-672-3309 Fax: 513-672-3323 | |
Mrs. Jacqueline Marie Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3229 Burnet Ave, Cincinnati, OH 45229 Phone: 513-872-6310 | |
James Matthew Grau, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-4194 Fax: 513-558-0995 |