| Mr Shawn Terrell Walls, CRNA | |
|
205 Marengo St, Florence, AL 35630-6033 | |
| (256) 768-9191 | |
| (256) 768-9775 |
| Full Name | Mr Shawn Terrell Walls |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 205 Marengo St, Florence, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811268238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-115336 (Alabama) | Primary |
| Entity Name | Community Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598242497 PECOS PAC ID: 6901158161 Enrollment ID: O20181016003576 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shawn Terrell Walls, CRNA Po Box 10005, Florence, AL 35631-2005 Ph: (256) 768-9191 | Mr Shawn Terrell Walls, CRNA 205 Marengo St, Florence, AL 35630-6033 Ph: (256) 768-9191 |
Jared Gregg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Laura Avelyn Horton, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Matthew Johnson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-768-8323 | |
Mr. Ryan Todd Wells Vii, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Mr. Gary Shawn Puryear, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Regina Romine Painter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 | |
Stella Donna Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775 |