Daniel W Wildman, CRNA | |
1314 19th Ave, Meridian, MS 39301-4116 | |
(601) 703-9687 | |
(601) 703-9920 |
Full Name | Daniel W Wildman |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 1314 19th Ave, Meridian, Mississippi |
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 |
---|---|---|---|
1821249525 | NPI | - | NPPES |
00184823 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R867838 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Foundation Hospital | Meridian, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meridian Anesthesiology Group, Inc | 1759345192 | 18 |
Medical Foundation Inc | 9234043712 | 124 |
Entity Name | Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
Entity Name | Meridian Anesthesiology Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639181019 PECOS PAC ID: 1759345192 Enrollment ID: O20041116000675 |
Entity Name | Laird Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Entity Name | Kemper Cah, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
Mailing Address | Practice Location Address |
---|---|
Daniel W Wildman, CRNA 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-4282 | Daniel W Wildman, CRNA 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-9687 |
Jamey D. Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9283 | |
Holly Marie Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-353-6341 Fax: 844-752-2164 | |
Katie P Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1926 23rd Ave, Meridian, MS 39301 Phone: 601-485-1131 | |
Myrna L. Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-9687 Fax: 601-703-9920 | |
Mrs. Brandi Rashel Carmichael, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-533-6000 Fax: 601-553-6994 | |
Joe R Martin Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 | |
Joseph B Sayers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 Fax: 601-553-6115 |