| Mr Wayne Francis Wilbur, CRNA | |
|
57 Prospect St, Nantucket, MA 02554-2799 | |
| (774) 563-1876 | |
| (401) 826-0410 |
| Full Name | Mr Wayne Francis Wilbur |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 48 Years |
| Location | 57 Prospect St, Nantucket, Massachusetts |
| 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 |
|---|---|---|---|
| 1649359548 | NPI | - | NPPES |
| NA1102 | Other | MA | BCBS |
| 1649359548 | Other | FALLON | |
| P00214045 | Other | RAILRAOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 199070 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matrix Anesthesia Pc | 8820136377 | 43 |
| Entity Name | Anesthesia Professionals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659346443 PECOS PAC ID: 0042297582 Enrollment ID: O20040702000303 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Matrix Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700028032 PECOS PAC ID: 8820136377 Enrollment ID: O20091210000301 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wayne Francis Wilbur, CRNA 57 Prospect St, Nantucket, MA 02554-2799 Ph: (774) 563-1876 | Mr Wayne Francis Wilbur, CRNA 57 Prospect St, Nantucket, MA 02554-2799 Ph: (774) 563-1876 |
Mr. Peter Duquette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 57 Prospect Street, Nantucket, MA 02554 Phone: 508-825-1800 Fax: 508-825-8101 |