Wendy Jo Plum, CRNA | |
3009 S John Redditt Dr # 168, Lufkin, TX 75904-5661 | |
(808) 222-1712 | |
Not Available |
Full Name | Wendy Jo Plum |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3009 S John Redditt Dr # 168, Lufkin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174591523 | NPI | - | NPPES |
101120525 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN243133 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | ARNP 2721072 (Florida) | Primary |
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
Entity Name | Port St Lucie Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215441134 PECOS PAC ID: 2769743343 Enrollment ID: O20180222000058 |
Entity Name | Fmfl Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871127134 PECOS PAC ID: 1153752811 Enrollment ID: O20200513000118 |
Mailing Address | Practice Location Address |
---|---|
Wendy Jo Plum, CRNA 3009 S John Redditt, #168, Lufkin, TX 75901 Ph: (808) 222-1712 | Wendy Jo Plum, CRNA 3009 S John Redditt Dr # 168, Lufkin, TX 75904-5661 Ph: (808) 222-1712 |
Chad Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Sloan Ln, Lufkin, TX 75901 Phone: 936-465-4196 | |
Daniel Testyon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064 | |
Ms. Zeata May Rowe, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-7900 | |
Jason Todd Nix, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064 | |
William Havens Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-3036 Fax: 936-639-3064 | |
Jacob Sapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 214-932-1030 |