Mr Gregory Shaun Wiggins, CRNA | |
1020 S State Highway 16, Fredericksburg, TX 78624-4471 | |
(830) 997-4353 | |
Not Available |
Full Name | Mr Gregory Shaun Wiggins |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 1020 S State Highway 16, Fredericksburg, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851719025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP125240 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Lagrange Hospital | Lagrange, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinical Colleagues Inc | 8729011333 | 106 |
Clinical Colleagues Inc | 8729011333 | 106 |
Entity Name | Clinical Colleagues Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20181101000420 |
Entity Name | Clinical Colleagues Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003469495 PECOS PAC ID: 1850620584 Enrollment ID: O20190905002682 |
Entity Name | Iceland Anesthesia Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Shaun Wiggins, CRNA 707 S Creek St, Apt. 215, Fredericksburg, TX 78624-5515 Ph: (270) 226-9206 | Mr Gregory Shaun Wiggins, CRNA 1020 S State Highway 16, Fredericksburg, TX 78624-4471 Ph: (830) 997-4353 |
Mr. Timothy A Roman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 S Washington St, Fredericksburg, TX 78624 Phone: 830-997-9170 Fax: 830-997-9226 | |
Mrs. Mary A Hardie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 S Washington St, Fredericksburg, TX 78624 Phone: 830-997-9170 Fax: 830-997-9226 | |
Patrick Almond, RN, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1020 S State Highway 16, Fredericksburg, TX 78624 Phone: 830-990-6624 | |
Charles Cross, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 206 W Windcrest St, Fredericksburg, TX 78624 Phone: 830-997-0252 |