Wallace D Womack, CRNA | |
1204 N Mound St, Nacogdoches, TX 75961-4027 | |
(936) 568-8525 | |
Not Available |
Full Name | Wallace D Womack |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 1204 N Mound St, Nacogdoches, Texas |
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 |
---|---|---|---|
1154691327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 688255 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Columbus Community Hospital | Columbus, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grasshopper Anesthesia Services Pllc | 3072882315 | 27 |
Entity Name | Ac Provider Services Of Texas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427280635 PECOS PAC ID: 5395883359 Enrollment ID: O20091112000394 |
Entity Name | Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712 |
Entity Name | Youngs Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
Entity Name | Falls Town Anesthesia Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447685466 PECOS PAC ID: 1759517238 Enrollment ID: O20131112001671 |
Entity Name | Texas Anesthesia Partners, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
Entity Name | Grasshopper Anesthesia Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20170630000438 |
Entity Name | Emergenchealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
Entity Name | Bosque County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720540255 PECOS PAC ID: 4587997754 Enrollment ID: O20190819000832 |
Mailing Address | Practice Location Address |
---|---|
Wallace D Womack, CRNA 2615 County Road 536, Nacogdoches, TX 75961-3931 Ph: (903) 312-8658 | Wallace D Womack, CRNA 1204 N Mound St, Nacogdoches, TX 75961-4027 Ph: (936) 568-8525 |
Ms. Nancy Joanne Batzloff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 919 County Road 2131, Nacogdoches, TX 75965 Phone: 936-560-1338 | |
Mr. Ronald Anthony Freeland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-564-4611 | |
James Robert Stockman Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-569-4164 | |
Mr. Jerry L Mixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 Fax: 936-462-4333 | |
Mrs. Kendra Brooks Stockman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3610 N University Dr, Nacogdoches, TX 75965 Phone: 936-254-4703 | |
Mr. James H. Newberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444 |