| Delia Salazer Wiles, CRNA | |
|
239 Edgewood Drive Ext, Transfer, PA 16154-1817 | |
| (724) 646-0400 | |
| (724) 646-0413 |
| Full Name | Delia Salazer Wiles |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 239 Edgewood Drive Ext, Transfer, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053349365 | NPI | - | NPPES |
| 14917739 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN569266 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 47551 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edgewood Surgical Hospital | Transfer, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bel-park Anesthesia Associates, Inc. | 8628974904 | 137 |
| Entity Name | C S Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912923343 PECOS PAC ID: 3678583549 Enrollment ID: O20060424000161 |
| Entity Name | Ultracare Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407236110 PECOS PAC ID: 4082920525 Enrollment ID: O20200107001513 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20200902001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Delia Salazer Wiles, CRNA 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Delia Salazer Wiles, CRNA 239 Edgewood Drive Ext, Transfer, PA 16154-1817 Ph: (724) 646-0400 |
Steven Jordan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 239 Edgewood Drive Ext, Transfer, PA 16154 Phone: 724-475-4929 | |
John Sonoga, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 239 Edgewood Drive Ext, 7th Floor, Transfer, PA 16154 Phone: 724-646-0413 |