| Aleksandra Provident, | |
|
1 Medical Park, Wheeling, WV 26003-6379 | |
| (304) 243-3000 | |
| Not Available |
| Full Name | Aleksandra Provident |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Medical Park, Wheeling, 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 |
|---|---|---|---|
| 1356051007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 673499 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 115674 (West Virginia) | Primary |
| Entity Name | Wheeling Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548923923 PECOS PAC ID: 5799689493 Enrollment ID: O20031124000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Aleksandra Provident, 1001 Garrison Ln, Jeannette, PA 15644-4764 Ph: () - | Aleksandra Provident, 1 Medical Park, Wheeling, WV 26003-6379 Ph: (304) 243-3000 |
Madeline F Shipe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343 | |
Louis James Vargo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343 | |
Richard Joseph Burtnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3060 | |
Nicolette Harbison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-233-2455 Fax: 304-233-6073 | |
Tara Cree Paczewski Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3000 | |
Douglas M Pell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343 | |
Floyd J Swiger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3343 |