| Conda Bates, CRNA | |
|
20 Hospital Drive, Logan, WV 25601 | |
| (304) 831-1138 | |
| (304) 831-1267 |
| Full Name | Conda Bates |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 20 Hospital Drive, Logan, 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 |
|---|---|---|---|
| 1174580195 | NPI | - | NPPES |
| 0068068000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 30465 (West Virginia) | Primary |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Ambulatory Surgery Center Support Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902857642 PECOS PAC ID: 2860440013 Enrollment ID: O20050105000212 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Conda Bates, CRNA 20 Hospital Drive, Logan, WV 25601 Ph: (304) 831-1138 | Conda Bates, CRNA 20 Hospital Drive, Logan, WV 25601 Ph: (304) 831-1138 |
Giles Bowman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1138 Fax: 304-831-1267 | |
Melissa Dawn Price, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-792-1101 Fax: 954-838-2588 | |
Shelby Brooke Mccloud, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101 | |
Valerie D Sparks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1138 | |
Cynthia Gagnon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Drive, Logan, WV 25601 Phone: 304-831-1138 Fax: 304-831-1267 |