Amy Wada, CRNA | |
612 Mocksville Ave, Salisbury, NC 28144-2732 | |
(704) 210-5661 | |
(704) 210-5660 |
Full Name | Amy Wada |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 612 Mocksville Ave, Salisbury, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538244454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 076165 (North Carolina) | Primary |
Entity Name | Gateway Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548401789 PECOS PAC ID: 6002966694 Enrollment ID: O20090602000253 |
Mailing Address | Practice Location Address |
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Amy Wada, CRNA 9614 Tramacera Ct Nw, Concord, NC 28027 Ph: () - | Amy Wada, CRNA 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5661 |
Mr. Edward Blaine Bostian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-6965 | |
Mrs. Kimberly Jo Alexander, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 | |
Mrs. Beaulisa Dawn Metcalf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 | |
Mrs. Patricia Floyd Burke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 | |
Clement Joseph Markarian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-7000 | |
Mrs. Nancy Marinette Rierson, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5000 | |
Ms. Susan Lynn Kutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 |