| Mr James Carson Wilcox Ii, CRNA | |
|
3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 | |
| (254) 245-9175 | |
| (254) 213-7771 |
| Full Name | Mr James Carson Wilcox Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3800 S W S Young Dr Ste 201, Killeen, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710028345 | NPI | - | NPPES |
| 75876 | Other | TX | NATIONAL BOARD OF CERTIFICATION & RECERTIFICATION FOR NURSE ANESTHETISTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | PENDING (Nevada) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP116710 (Texas) | Primary |
| Entity Name | Integrated Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689800419 PECOS PAC ID: 6204973894 Enrollment ID: O20091030000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Carson Wilcox Ii, CRNA 4112 Gliding Gulls Ave, North Las Vegas, NV 89084-2685 Ph: (702) 487-5987 | Mr James Carson Wilcox Ii, CRNA 3800 S W S Young Dr Ste 201, Killeen, TX 76542-3340 Ph: (254) 245-9175 |
Melizza Saenz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771 | |
Michael Mwasumbi, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 Fax: 254-724-8572 | |
Kristi L Lefrere, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 | |
Detonya Necol Tulsie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-724-2111 | |
Mr. Jeffrey Wayne Albritton, MSN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3800 S W S Young Dr Ste 201, Killeen, TX 76542 Phone: 254-245-9175 Fax: 254-213-7771 | |
Tammy A Laughlin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 | |
Cody Chachere, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2201 Clear Creek Rd, Killeen, TX 76549 Phone: 254-526-7523 |