| Mr Theodore Knox Gregory Ii, CRNA | |
|
719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | |
| (903) 342-5227 | |
| (903) 342-4121 |
| Full Name | Mr Theodore Knox Gregory Ii |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 719 W Coke Road, Winnsboro, 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 |
|---|---|---|---|
| 1801811534 | NPI | - | NPPES |
| 002294902 | Medicaid | TX | |
| 85064U | Other | TX | BLUE CROSS BLUE SHIELD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Anesthesia Services Group Inc | 5799007324 | 742 |
| Wake Forest University Health Sciences | 4486564952 | 2633 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| 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 Theodore Knox Gregory Ii, CRNA 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: Not Available | Mr Theodore Knox Gregory Ii, CRNA 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Ph: (903) 342-5227 |
Mr. Juan Francisco Quintana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 |
Mr. Michael Wayne Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 719 W Coke Rd, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 Phone: 903-342-5227 Fax: 903-342-4121 |