| Mr Jerry C Wheeler, CRNA | |
|
300 Wilson St, Henderson, TX 75652-5956 | |
| (903) 655-3830 | |
| Not Available |
| Full Name | Mr Jerry C Wheeler |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 Wilson St, Henderson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376672006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 232196 (Texas) | Primary |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| Entity Name | Grasshopper Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932635752 PECOS PAC ID: 3072882315 Enrollment ID: O20170630000438 |
| Entity Name | Henderson Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043710437 PECOS PAC ID: 4789946054 Enrollment ID: O20180326002460 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry C Wheeler, CRNA Apache Trail, Nf 6 Lake Cherokee, Longview, TX 75603 Ph: (903) 720-2334 | Mr Jerry C Wheeler, CRNA 300 Wilson St, Henderson, TX 75652-5956 Ph: (903) 655-3830 |
Mr. Dwight M Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-657-7541 Fax: 903-596-7541 |