| Jessie Nicole Wells, CRNA | |
|
4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | |
| (304) 766-3600 | |
| Not Available |
| Full Name | Jessie Nicole Wells |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 4605 Maccorkle Ave Sw, South Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942739289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 112552 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthesia Service,inc. | 2769387190 | 42 |
| Entity Name | Professional Anesthesia Service,inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035827 PECOS PAC ID: 2769387190 Enrollment ID: O20031126000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Nicole Wells, CRNA 110 Roane St, Charleston, WV 25302-2334 Ph: (304) 344-0096 | Jessie Nicole Wells, CRNA 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600 |
Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468 | |
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088 | |
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Nicholas E. Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 |