Thomas J Wigton, CRNA | |
4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | |
(231) 935-5770 | |
(231) 935-0747 |
Full Name | Thomas J Wigton |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4100 Park Forest Dr, Traverse City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295720894 | NPI | - | NPPES |
430048952 | Other | MI | MEDICARE RAIL ROAD TSC |
1295720894 | Medicaid | MI | |
430B810310 | Other | MI | BCBS TSC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704185255 (Michigan) | Primary |
Entity Name | Mercy Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366483745 PECOS PAC ID: 7012811615 Enrollment ID: O20031125000402 |
Entity Name | Traverse Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013966506 PECOS PAC ID: 5597750091 Enrollment ID: O20040415000576 |
Entity Name | Surgery Center Plc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1770577637 PECOS PAC ID: 0345141016 Enrollment ID: O20091001000560 |
Mailing Address | Practice Location Address |
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Thomas J Wigton, CRNA 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 | Thomas J Wigton, CRNA 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 Ph: (231) 935-5770 |
Scott Stone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Christina Dalton Pryde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mitchell Reynolds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Jonathan P Gunsberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Reid Compagner, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Munson Medical Center, 1105 Sixth Street, Traverse City, MI 49684 Phone: 231-935-7690 | |
Michelle Hodges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 | |
Mona L Mackey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 Phone: 231-935-5770 Fax: 231-935-0747 |