| Justin Waninger, CRNA | |
|
3700 S Main St, Blacksburg, VA 24060-7017 | |
| (540) 951-1111 | |
| Not Available |
| Full Name | Justin Waninger |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 3700 S Main St, Blacksburg, Virginia |
| 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 |
|---|---|---|---|
| 1497359012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 0001275299 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024180835 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Medical Center | Salem, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Anesthesia Pc | 7416851597 | 63 |
| Entity Name | Valley Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275587115 PECOS PAC ID: 7416851597 Enrollment ID: O20031120000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Waninger, CRNA 1838 Carleton Dr, Salem, VA 24153 Ph: (812) 630-0100 | Justin Waninger, CRNA 3700 S Main St, Blacksburg, VA 24060-7017 Ph: (540) 951-1111 |
Mr. Steven Knox Skinner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Montgomery Regional Hospital South Main St, Blacksburg, VA 24060 Phone: 540-953-5374 | |
Tracey Rhodes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 S Main St, Blacksburg, VA 24060 Phone: 540-953-5374 | |
Jim Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3700 S Main St, Blacksburg, VA 24060 Phone: 540-953-5374 | |
Michelle Marie Gates, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 S Main St, Anesthesia, Blacksburg, VA 24060 Phone: 540-953-5374 |