Glenn M Morales, | |
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
(304) 624-2121 | |
Not Available |
Full Name | Glenn M Morales |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 327 Medical Park Dr, Bridgeport, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215175526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 74651 (West Virginia) | Primary |
Entity Name | Medical Anesthesia Associates, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104868686 PECOS PAC ID: 8022002823 Enrollment ID: O20040414000079 |
Entity Name | Independent Physicians Network Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
Entity Name | Compass Anesthesia Providers, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669829750 PECOS PAC ID: 4082040878 Enrollment ID: O20200217000123 |
Mailing Address | Practice Location Address |
---|---|
Glenn M Morales, Po Box 6209, Wheeling, WV 26003-0714 Ph: (304) 233-2455 | Glenn M Morales, 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (304) 624-2121 |
Sarah Jessica Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 Johnson Ave Ste 102, Bridgeport, WV 26330 Phone: 681-342-3453 Fax: 304-842-2333 | |
Diana Lynn Hackett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2157 Green Valley Rd, Bridgeport, WV 26330 Phone: 304-699-4103 | |
Jean C Coger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Mr. Kristopher Richard Jangrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Mr. Caleb David Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Christopher Hagedorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |