| Mr Stephen Wesley Wilson, CRNA | |
|
10751 Falls Rd, Suite 425, Lutherville, MD 21093-4517 | |
| (410) 583-2760 | |
| (410) 583-2759 |
| Full Name | Mr Stephen Wesley Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 48 Years |
| Location | 10751 Falls Rd, Lutherville, Maryland |
| 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 |
|---|---|---|---|
| 1255323630 | NPI | - | NPPES |
| KCE3GL | Other | BLUE CROSS BLUE SHIELD | |
| S4320001 | Other | FEDERAL CAREFIRST | |
| P00012294 | Other | MEDICARE RAILROAD | |
| 876R | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R063574 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center Inc | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Calvert Anesthesiology Services Llc | 8921309980 | 59 |
| Entity Name | North American Partners In Anesthesia Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20040330000405 |
| Entity Name | Poole Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1124443809 PECOS PAC ID: 6901988997 Enrollment ID: O20080130000094 |
| Entity Name | North Calvert Anesthesiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710360227 PECOS PAC ID: 8921309980 Enrollment ID: O20151216000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Wesley Wilson, CRNA 3101 Morningside Ct, Baldwin, MD 21013-9528 Ph: (410) 557-6724 | Mr Stephen Wesley Wilson, CRNA 10751 Falls Rd, Suite 425, Lutherville, MD 21093-4517 Ph: (410) 583-2760 |
Mitchel Markins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1533 Charmuth Rd, Lutherville, MD 21093 Phone: 410-832-5775 | |
Jan Hetherington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10751 Falls Rd, Falls Road Concourse Suite 425, Lutherville, MD 21093 Phone: 410-583-2760 | |
Mr. Herbert Ralph Zinder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1205 York Rd, Ste 390, Lutherville, MD 21093 Phone: 410-825-6652 Fax: 410-825-6654 |