| Adam Wayne Repass, | |
|
100 Angus E Peyton Dr, South Charleston, WV 25303-1600 | |
| (304) 746-2500 | |
| Not Available |
| Full Name | Adam Wayne Repass |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Angus E Peyton Dr, South Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811638034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95873 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 116718 (West Virginia) | Primary |
| Entity Name | Triangle Anesthesia Group, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20220902001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Wayne Repass, 330 Westwood Dr, Beckley, WV 25801-4250 Ph: (304) 923-3449 | Adam Wayne Repass, 100 Angus E Peyton Dr, South Charleston, WV 25303-1600 Ph: (304) 746-2500 |
Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468 | |
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088 | |
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 | |
Nicholas E. Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600 |