Mr Adam Abdul Alim Wilson, CRNA | |
600 East Blvd, Elkhart, IN 46514-2483 | |
(574) 524-8130 | |
(574) 524-8138 |
Full Name | Mr Adam Abdul Alim Wilson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 600 East Blvd, Elkhart, Indiana |
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 |
---|---|---|---|
1033167028 | NPI | - | NPPES |
0083386 | Medicaid | OH | |
RN.325391 | Other | OH | RN NURSING LICENS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN. 325391 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 14336 NA (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Loudoun Hospital | Leesburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Cares - Community | 9537526330 | 201 |
Inova Cares - Community | 9537526330 | 201 |
Entity Name | Inova Cares - Community |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576 |
Mailing Address | Practice Location Address |
---|---|
Mr Adam Abdul Alim Wilson, CRNA 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 524-8130 | Mr Adam Abdul Alim Wilson, CRNA 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 524-8130 |
Mr. Taqi Qays Abdu-as-salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514 Phone: 574-522-9922 | |
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 | |
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926 | |
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922 | |
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621 | |
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193 | |
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463 |