| Mason Salyers, | |
| 
					327 Medical Park Dr, Bridgeport, WV 26330-9006  | |
| (681) 342-1000 | |
| Not Available | 
| Full Name | Mason Salyers | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 327 Medical Park Dr, Bridgeport, 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 | 
|---|---|---|---|
| 1104645696 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 119175 (West Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 119175 (West Virginia) | Primary | 
| Entity Name | United Hospital Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mason Salyers, 3936 Cloverlea St, Pittsburgh, PA 15227-3404 Ph: (606) 634-6636  | Mason Salyers, 327 Medical Park Dr, Bridgeport, WV 26330-9006 Ph: (681) 342-1000  | 
Sarah Jessica Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 Johnson Ave Ste 102, Bridgeport, WV 26330 Phone: 681-342-3453 Fax: 304-842-2333  | |
Diana Lynn Hackett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2157 Green Valley Rd, Bridgeport, WV 26330 Phone: 304-699-4103  | |
Jean C Coger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626  | |
Mr. Kristopher Richard Jangrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1000  | |
Glenn M Morales,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-624-2121  | |
Mr. Caleb David Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000  | |
Christopher Hagedorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000  |