Amy Wada, CRNA in Salisbury, NC - Medicare Nurse Anesthetist, Certified Registered

Amy Wada, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salisbury, North Carolina. Her current practice location is 612 Mocksville Ave, Salisbury, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 210-5661.

Amy Wada is licensed to practice in North Carolina (license number 076165) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538244454.

Contact Information

	Amy Wada, CRNA
	612 Mocksville Ave, Salisbury, NC 28144-2732
	(704) 210-5661
	(704) 210-5660

Map and Direction

Provider's Profile

Full Name	Amy Wada
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	612 Mocksville Ave, Salisbury, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538244454
Provider Enumeration Date: 10/26/2006
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 8729182662
Enrollment ID: I20070402000441

Medical Identifiers

Medical identifiers for Amy Wada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538244454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	076165 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Wada allows following entities to bill medicare on her behalf.

Entity Name	Gateway Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548401789 PECOS PAC ID: 6002966694 Enrollment ID: O20090602000253

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Wada is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Wada, CRNA 9614 Tramacera Ct Nw, Concord, NC 28027 Ph: () -	Amy Wada, CRNA 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5661

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Salisbury, NC

Mr. Edward Blaine Bostian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-6965
Mrs. Kimberly Jo Alexander, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660
Mrs. Beaulisa Dawn Metcalf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661
Mrs. Patricia Floyd Burke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660
Clement Joseph Markarian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-7000
Mrs. Nancy Marinette Rierson, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5000
Ms. Susan Lynn Kutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660

Amy Wada, CRNA - Medicare Nurse Anesthetist, Certified Registered in Salisbury, NC