| Mr Kristoffer Villamin, CRNA | |
|
2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-0001 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Mr Kristoffer Villamin |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295291482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 747851 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1006762 (Texas) | Primary |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kristoffer Villamin, CRNA 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-0001 Ph: (910) 907-8922 | Mr Kristoffer Villamin, CRNA 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-0001 Ph: (910) 907-8922 |
Mr. Kevin Travis Worth, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-6036 | |
Allison Paige Martin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 336-529-0348 | |
Kevin Costello, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Hannah Hawkinson Melkun, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
Dr. Thomas Gerald Baughan Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Randy James Landry, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310 Phone: 910-907-6323 |