Michelle L Wilt, CRNA | |
809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
(843) 692-1062 | |
Not Available |
Full Name | Michelle L Wilt |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 809 82nd Pkwy, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144270232 | NPI | - | NPPES |
AN1223 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | R76081 (South Carolina) | Primary |
Entity Name | Inlet Anesthesia Consultants, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700031002 PECOS PAC ID: 8729143847 Enrollment ID: O20090224000309 |
Mailing Address | Practice Location Address |
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Michelle L Wilt, CRNA Po Box 1792, Columbia, SC 29202-1792 Ph: () - | Michelle L Wilt, CRNA 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 692-1062 |
Travis Mills, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2432 Hunters Trl, Myrtle Beach, SC 29588 Phone: 423-736-0357 | |
Patrick E Quinn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 | |
Jane I Dickman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 | |
Jean M. Vinski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1062 | |
Deborah Marie Rambo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Anesth Dept, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Debra K Hamerski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7900 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-449-3381 | |
Irina Walker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-602-2408 |