Blake Lynn Wilson, CRNA | |
6580 Judson Rd, Longview, TX 75605-7076 | |
(800) 939-7440 | |
Not Available |
Full Name | Blake Lynn Wilson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 6580 Judson Rd, Longview, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568712768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 89530 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Ada | Ada, OK | Hospital |
Mcalester Regional Health Center | Mcalester, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Oklahoma Anesthesia Consultants Woodward Llc | 3779817960 | 6 |
Western Oklahoma Anesthesia Consultants Pllc | 4587924865 | 31 |
Sc Anesthesia Llc | 7012382468 | 5 |
Entity Name | Blue Sky Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700166592 PECOS PAC ID: 8628241759 Enrollment ID: O20111104000200 |
Entity Name | Western Oklahoma Anesthesia Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663 |
Entity Name | Anesthesia Management Solutions Of Oklahoma Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003375650 PECOS PAC ID: 7618219213 Enrollment ID: O20190501001353 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
Entity Name | Western Oklahoma Anesthesia Consultants Woodward Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715 |
Entity Name | Sc Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962106013 PECOS PAC ID: 7012382468 Enrollment ID: O20230818001535 |
Mailing Address | Practice Location Address |
---|---|
Blake Lynn Wilson, CRNA 6580 Judson Rd, Longview, TX 75605-7076 Ph: (800) 939-7440 | Blake Lynn Wilson, CRNA 6580 Judson Rd, Longview, TX 75605-7076 Ph: (800) 939-7440 |
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 |