Joseph M Wallis, CRNA | |
1340 Hal Greer Blvd, Huntington, WV 25701-3800 | |
(304) 399-2960 | |
Not Available |
Full Name | Joseph M Wallis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 1340 Hal Greer Blvd, Huntington, West Virginia |
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 |
---|---|---|---|
1790851368 | NPI | - | NPPES |
0067254000 | Medicaid | WV | |
0343248 | Medicaid | OH | |
74433558 | Medicaid | KY | |
P00258527 | Other | PALMETTO GBA-RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 39516 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charleston Surgical Hospital, Llc | 6800887092 | 24 |
Entity Name | Cabell Huntington Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275576373 PECOS PAC ID: 3274436340 Enrollment ID: O20040128000461 |
Entity Name | Day Surgery Limited Liability |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295853885 PECOS PAC ID: 5991697252 Enrollment ID: O20040330000197 |
Entity Name | Charleston Surgical Hospital, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104904143 PECOS PAC ID: 6800887092 Enrollment ID: O20040518000885 |
Entity Name | Northstar Anesthesia Of West Virginia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322 |
Entity Name | Oasis Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720470792 PECOS PAC ID: 5597063834 Enrollment ID: O20180917000088 |
Mailing Address | Practice Location Address |
---|---|
Joseph M Wallis, CRNA Po Box 714960, Columbus, OH 43271-4960 Ph: (205) 322-1808 | Joseph M Wallis, CRNA 1340 Hal Greer Blvd, Huntington, WV 25701-3800 Ph: (304) 399-2960 |
Lora Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 | |
Cindy L Childers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 205-322-1808 Fax: 205-322-1851 | |
Mr. William D Howell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1031 | |
Lisa R Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-399-2960 | |
Mrs. Carol Elaine Porter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Ave, Suite 6019, Huntington, WV 25702 Phone: 304-399-0137 Fax: 304-399-0138 | |
Jamie H Vance, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1234 | |
Thressa Pemberton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2000 |