Nicole Celeste Wilson, | |
7600 Central Ave, Philadelphia, PA 19111-2442 | |
(215) 728-2112 | |
Not Available |
Full Name | Nicole Celeste Wilson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 7600 Central Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558697862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN309077L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Temple University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
Entity Name | Society Hill Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427003219 PECOS PAC ID: 5991617292 Enrollment ID: O20031119000358 |
Entity Name | Fox Chase Cancer Center Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Nicole Celeste Wilson, 1613 Woodbrook Ln, Philadelphia, PA 19150-1021 Ph: (267) 974-2372 | Nicole Celeste Wilson, 7600 Central Ave, Philadelphia, PA 19111-2442 Ph: (215) 728-2112 |
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Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 | |
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Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028 | |
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