| Christopher Dale Wilson, CRNA | |
|
611 Alcorn Dr, Corinth, MS 38834-9321 | |
| (662) 293-1440 | |
| (662) 293-4213 |
| Full Name | Christopher Dale Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 611 Alcorn Dr, Corinth, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366604654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R879347 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Medical Center | Modesto, CA | Hospital |
| Mercy Hospital | Bakersfield, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Excelle Anesthesia Services Inc | 4688046774 | 35 |
| Entity Name | Advanced Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Entity Name | Excelle Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689317208 PECOS PAC ID: 4688046774 Enrollment ID: O20230220000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Dale Wilson, CRNA 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (662) 293-1440 | Christopher Dale Wilson, CRNA 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (662) 293-1440 |
Mrs. Brooke Napier Hatchell, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Amanda C Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1440 Fax: 662-293-4334 | |
Lauren Elizabeth Cheek, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Mr. Gary Keith Barnett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1440 Fax: 662-293-4334 | |
Michael Mcnair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Tara Wadkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1440 Fax: 662-293-4334 | |
Mrs. April Renee Holley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 |