Tonya L Draves-wagner, CRNA | |
525 Couch Ave, St. Louis, MO 63122 | |
(314) 966-1500 | |
Not Available |
Full Name | Tonya L Draves-wagner |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 525 Couch Ave, St. Louis, Missouri |
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 |
---|---|---|---|
1629269337 | NPI | - | NPPES |
916300908 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2003021073 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro-west Anesthesia Group Inc | 2163329921 | 149 |
Entity Name | Metro-west Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563 |
Mailing Address | Practice Location Address |
---|---|
Tonya L Draves-wagner, CRNA 13523 Barrett Parkway Dr, Ste 210, Ballwin, MO 63021-3802 Ph: (314) 775-2816 | Tonya L Draves-wagner, CRNA 525 Couch Ave, St. Louis, MO 63122 Ph: (314) 966-1500 |
Ms. Cheryl Ann Thurman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2315 Dougherty Ferry Rd, Suite 107, St. Louis, MO 63122 Phone: 314-966-7570 Fax: 314-966-7788 | |
Mr. Robert Phillip Walsh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista Ave. At Grand Blvd, St. Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 |