| Mr Gregory Shaun Wiggins, CRNA | |
|
1020 S State Highway 16, Fredericksburg, TX 78624-4471 | |
| (830) 997-4353 | |
| Not Available |
| Full Name | Mr Gregory Shaun Wiggins |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1020 S State Highway 16, Fredericksburg, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851719025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP125240 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union Hospital Inc | Terre haute, IN | Hospital |
| Parkview Lagrange Hospital | Lagrange, IN | Hospital |
| Promedica Coldwater Regional Hospital | Coldwater, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iceland Anesthesia Management Llc | 7618372996 | 55 |
| Clinical Colleagues Inc | 8729011333 | 148 |
| Community Health Center Of Branch County | 9335037514 | 49 |
| Clinical Colleagues Inc | 8729011333 | 148 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20181101000420 |
| Entity Name | Iceland Anesthesia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory Shaun Wiggins, CRNA 707 S Creek St, Apt. 215, Fredericksburg, TX 78624-5515 Ph: (270) 226-9206 | Mr Gregory Shaun Wiggins, CRNA 1020 S State Highway 16, Fredericksburg, TX 78624-4471 Ph: (830) 997-4353 |
Mr. Timothy A Roman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 S Washington St, Fredericksburg, TX 78624 Phone: 830-997-9170 Fax: 830-997-9226 | |
Mrs. Mary A Hardie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 S Washington St, Fredericksburg, TX 78624 Phone: 830-997-9170 Fax: 830-997-9226 | |
Patrick Almond, RN, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1020 S State Highway 16, Fredericksburg, TX 78624 Phone: 830-990-6624 | |
Charles Cross, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 206 W Windcrest St, Fredericksburg, TX 78624 Phone: 830-997-0252 |