| Mr Ronald Everett Wyatt, CRNA | |
|
2200 Berquist Dr, 59 Medical Wing/credentials, Lackland Afb, TX 76236-5300 | |
| (940) 676-0868 | |
| Not Available |
| Full Name | Mr Ronald Everett Wyatt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 2200 Berquist Dr, Lackland Afb, Texas |
| 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 |
|---|---|---|---|
| 1497731848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 715033 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Surgical Hospital Fortworth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Noble Anesthesia Partners Pllc | 9234303165 | 68 |
| Entity Name | Noble Anesthesia Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619259553 PECOS PAC ID: 9234303165 Enrollment ID: O20111110000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald Everett Wyatt, CRNA 1022 Jan Lee Dr, Burkburnett, TX 76354-2916 Ph: (940) 704-0456 | Mr Ronald Everett Wyatt, CRNA 2200 Berquist Dr, 59 Medical Wing/credentials, Lackland Afb, TX 76236-5300 Ph: (940) 676-0868 |
William John Craig, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 59th Msgs/mcoa, 2200 Bergquist Dr. Suite 1, Lackland Afb, TX 78236 Phone: 210-292-5145 | |
Mr. Jeffrey Carl Darius, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Attn: Credentials (cmc), Lackland Afb, TX 78236 Phone: 210-292-6707 |