Mr Caleb David Martin, CRNA | |
327 Medical Park Dr, Bridgeport, WV 26330-9006 | |
(681) 342-1000 | |
Not Available |
Full Name | Mr Caleb David Martin |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 327 Medical Park Dr, Bridgeport, 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 |
---|---|---|---|
1235793134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 103459 (West Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 86131 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital Center | Bridgeport, WV | Hospital |
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charleston Area Medical Center Inc | 3375441637 | 674 |
United Hospital Center Inc | 8123936010 | 207 |
Entity Name | United Hospital Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
Entity Name | Charleston Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Entity Name | River Cities Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699845164 PECOS PAC ID: 6002707015 Enrollment ID: O20040322000089 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Caleb David Martin, CRNA 2673 Davisson Run Rd Ste 303, Clarksburg, WV 26301-6838 Ph: (800) 541-4009 | Mr Caleb David Martin, CRNA 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1000 |
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 | |
Glenn M Morales, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-624-2121 | |
Christopher Hagedorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |