Mr Todd Wallace Kaczmark, CRNA | |
601 Colliers Way, Weirton, WV 26062-5014 | |
(304) 797-6000 | |
Not Available |
Full Name | Mr Todd Wallace Kaczmark |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 601 Colliers Way, Weirton, 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 |
---|---|---|---|
1881838753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 74410 (West Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 081278 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Virginia University Hospitals | Morgantown, WV | Hospital |
Weirton Medical Center | Weirton, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Virginia University Medical Corporation | 1052224565 | 1621 |
Weirton Medical Center, Inc. | 6709771827 | 15 |
E. Ronald Salvitti, M.d., Inc. | 0749192854 | 16 |
Entity Name | West Virginia University Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Entity Name | Weirton Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144423864 PECOS PAC ID: 6709771827 Enrollment ID: O20040218000326 |
Mailing Address | Practice Location Address |
---|---|
Mr Todd Wallace Kaczmark, CRNA 601 Colliers Way, Weirton, WV 26062-5014 Ph: (304) 797-6000 | Mr Todd Wallace Kaczmark, CRNA 601 Colliers Way, Weirton, WV 26062-5014 Ph: (304) 797-6000 |
Judith Martich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6266 | |
Robert Abraham Mathieu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6543 Fax: 304-797-6150 | |
Miriam C Wilps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6543 | |
Ms. Jeanne Tomanio, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6000 | |
Kimberly Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6000 | |
Kevin Kimmins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6000 | |
Jenna Winkler, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-233-2455 |