| Catherine B Wagner, CRNA | |
|
7640 E Parham Rd, Henrico, VA 23294-4300 | |
| (804) 285-4763 | |
| (804) 288-8946 |
| Full Name | Catherine B Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 7640 E Parham Rd, Henrico, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568450047 | NPI | - | NPPES |
| 010086051 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024166044 (Virginia) | Primary |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine B Wagner, CRNA Po Box 17978, Richmond, VA 23226-7978 Ph: (804) 288-4453 | Catherine B Wagner, CRNA 7640 E Parham Rd, Henrico, VA 23294-4300 Ph: (804) 285-4763 |
Karl Balling, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Henrico, VA 23229 Phone: 804-289-4500 | |
Carina Sames, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1518 Split Oak Ln Apt G, Henrico, VA 23229 Phone: 615-830-2606 | |
Ms. Marie J Walker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7640 E Parham Road, Parham Surgery Center, Henrico, VA 23294 Phone: 904-591-2200 Fax: 804-591-2236 |