Gregory Wilson, CRNA | |
1515 Union Ave, Moberly, MO 65270-9407 | |
(573) 686-5550 | |
Not Available |
Full Name | Gregory Wilson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 1515 Union Ave, Moberly, Missouri |
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 |
---|---|---|---|
1730150673 | NPI | - | NPPES |
125164 | Other | MO | MO BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 132362 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Moberly Regional Medical Center | Moberly, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Moberly Anesthesia Associates, Llc | 7416083878 | 4 |
Entity Name | Moberly Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598737850 PECOS PAC ID: 7416083878 Enrollment ID: O20100325000204 |
Entity Name | Fulton Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1417367665 PECOS PAC ID: 7810211398 Enrollment ID: O20150123001617 |
Entity Name | Capital Anesthesia Solutions Of Missouri, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
Entity Name | Noble Health Audrain Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447841168 PECOS PAC ID: 0446667299 Enrollment ID: O20210430001237 |
Mailing Address | Practice Location Address |
---|---|
Gregory Wilson, CRNA 1303 Quail Haven Dr, Moberly, MO 65270-3837 Ph: (573) 686-5550 | Gregory Wilson, CRNA 1515 Union Ave, Moberly, MO 65270-9407 Ph: (573) 686-5550 |
Darren Elliott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 573-686-5550 | |
Larry Meyers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 573-686-5550 | |
Lisa Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 573-686-5550 | |
Dr. Joshua David Delozier, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 660-263-8400 | |
William George Wall Ii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2103 Silva Lane, Moberly, MO 65270 Phone: 660-263-1266 |