| Mrs Kathy Marie Wolverton, CRNA | |
|
111 Country Cir, Advance, NC 27006-7456 | |
| (336) 998-7590 | |
| Not Available |
| Full Name | Mrs Kathy Marie Wolverton |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 111 Country Cir, Advance, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023092921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 075728 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| Anesthesia Care Services Pa | 7012937105 | 54 |
| 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 | Davie Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154326379 PECOS PAC ID: 1759280647 Enrollment ID: O20040324000907 |
| Entity Name | Anesthesia Care Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathy Marie Wolverton, CRNA 111 Country Cir, Advance, NC 27006-7456 Ph: (336) 998-7590 | Mrs Kathy Marie Wolverton, CRNA 111 Country Cir, Advance, NC 27006-7456 Ph: (336) 998-7590 |
Mr. John Francis Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Scottsdale Dr, Advance, NC 27006 Phone: 336-806-4020 | |
Mr. Richard Lamar Meenach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 128 Peachtree Ln, Suite B, Advance, NC 27006 Phone: 336-998-3396 | |
Mr. Morgan Thomas Woodhouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 128 Peachtree Ln, Suite B, Advance, NC 27006 Phone: 336-998-3396 Fax: 336-998-2889 |