| Corey Wade Jones, | |
|
390 North Loop Road, Fort Irwin, CA 92310 | |
| (256) 337-3147 | |
| Not Available |
| Full Name | Corey Wade Jones |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 390 North Loop Road, Fort Irwin, California |
| 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 |
|---|---|---|---|
| 1396905931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-102835 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dekalb Regional Medical Center | Fort payne, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360 Anesthesia Pllc | 5991184863 | 98 |
| Entity Name | Hospitalist Medicine Physicians Of Alabama-tcs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750989877 PECOS PAC ID: 5698188019 Enrollment ID: O20210104001316 |
| Entity Name | 360 Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20230911003654 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Wade Jones, Po Box 105109, Fort Irwin, CA 92310-5109 Ph: (760) 383-5053 | Corey Wade Jones, 390 North Loop Road, Fort Irwin, CA 92310 Ph: (256) 337-3147 |
Mr. Stephen Bertsch, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4th Street, Building 166, Fort Irwin, CA 92310 Phone: 760-380-3203 | |
Karla Katigbak, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: North Loop Road, Bldg 390, Fort Irwin, CA 92310 Phone: 760-383-5480 | |
Mr. Robert Gene Lehtonen Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Bldg. 390 N. Loop Road, Fort Irwin, CA 92310 Phone: 866-957-9224 | |
Tazariya Williams, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4665 Omaha Beach St, Fort Irwin, CA 92310 Phone: 254-290-9826 | |
Mr. Neil S Hurd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4th And Inner Loop, Fort Irwin, CA 92310 Phone: 760-380-5388 |