| Michael Lee Casto, CRNA | |
|
230 Hospital Plaza, Weston, WV 26452-8558 | |
| (304) 269-8000 | |
| (304) 269-8090 |
| Full Name | Michael Lee Casto |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 230 Hospital Plaza, Weston, West 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 |
|---|---|---|---|
| 1689778193 | NPI | - | NPPES |
| 0001222000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 47280 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davis Medical Center | Elkins, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Anesthesia Psc | 3072828193 | 17 |
| Braxton County Memorial Hospital | 5193717759 | 34 |
| West Virginia Health Care Cooperative Inc | 9830431030 | 51 |
| Entity Name | Davis Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
| Entity Name | Braxton County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
| Entity Name | West Virginia Health Care Cooperative Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043778319 PECOS PAC ID: 9830431030 Enrollment ID: O20190531001788 |
| Entity Name | Riverside Anesthesia Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578946596 PECOS PAC ID: 3072828193 Enrollment ID: O20230606001975 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lee Casto, CRNA 230 Hospital Plaza, Weston, WV 26452-8558 Ph: (304) 269-8000 | Michael Lee Casto, CRNA 230 Hospital Plaza, Weston, WV 26452-8558 Ph: (304) 269-8000 |
Jack Charles Marcum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Brenda K Marcum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8090 Fax: 304-269-8090 | |
Justin David Smallridge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 | |
Robert L Goodson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 230 Hospital Plz, Weston, WV 26452 Phone: 304-269-8000 | |
Larry Eugene Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 230 Hospital Plaza, Weston, WV 26452 Phone: 304-269-8000 Fax: 304-269-8090 |