| Jaeden Wiseman, | |
|
6200 W Parker Rd, Plano, TX 75093-8185 | |
| (972) 981-8000 | |
| Not Available |
| Full Name | Jaeden Wiseman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 6200 W Parker Rd, Plano, Texas |
| 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 |
|---|---|---|---|
| 1780396242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 947153 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 157045 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Presbyterian Hospital Plano | Plano, TX | Hospital |
| Texas Health Hospital Frisco | Frisco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2750 |
| Entity Name | U S Anesthesia Partners of Texas, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaeden Wiseman, 12222 Merit Dr Ste 600, Dallas, TX 75251-3294 Ph: (210) 622-8235 | Jaeden Wiseman, 6200 W Parker Rd, Plano, TX 75093-8185 Ph: (972) 981-8000 |
Lynn C Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6000 W Spring Creek Pkwy Ste 150, Plano, TX 75024 Phone: 468-559-5880 Fax: 888-514-7033 |
Taylor Nicole Mcfarlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 W Parker Rd, Plano, TX 75093 Phone: 972-981-8000 |
Amanda Frampton Watts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6712 Hornbeam Ct, Plano, TX 75023 Phone: 903-752-3060 |
Mr. Robert L. Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-519-1115 Fax: 972-519-1456 |
Mr. William John Rolfes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 214-970-6817 |
Byron Razon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 W Parker Rd, Plano, TX 75093 Phone: 469-644-0830 |
John David Caley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6009 W Parker Rd, Suite 149-245, Plano, TX 75093 Phone: 214-244-8796 Fax: 972-781-1461 |